Provider Demographics
NPI:1457394215
Name:KIPP, FRANCESCA C (CRNA)
Entity Type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:C
Last Name:KIPP
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 CALEDONIA PL
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-6403
Mailing Address - Country:US
Mailing Address - Phone:407-947-2749
Mailing Address - Fax:407-328-0565
Practice Address - Street 1:625 CALEDONIA PL
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-6403
Practice Address - Country:US
Practice Address - Phone:407-947-2749
Practice Address - Fax:407-328-0565
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1739872367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL301772900Medicaid
FLG1988OtherBCBS
FLG1988OtherBCBS