Provider Demographics
NPI:1669912358
Name:TIPSWORD, MEGHAN L
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:L
Last Name:TIPSWORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 FISH HATCHERY RD FL 5
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53715-1909
Mailing Address - Country:US
Mailing Address - Phone:608-410-2700
Mailing Address - Fax:608-410-2905
Practice Address - Street 1:1211 FISH HATCHERY RD FL 5
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53715-1909
Practice Address - Country:US
Practice Address - Phone:608-410-2700
Practice Address - Fax:608-410-2905
Is Sole Proprietor?:No
Enumeration Date:2017-03-01
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS