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NPI Code Detail

MEDICARE: ROBERTA DAWN TIPTON LPN

MEDICARE: ROBERTA DAWN TIPTON LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational Nurse214293TX

General Provider Information

NPI Number : 1225984396
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERTA DAWN TIPTON LPN
Provider Business Mailing Address
First Line : 600 MEADOWVIEW LN APT 604
Second Line :
City : KERRVILLE
State : TX
Zip : 78028-5475
Country : US
Telephone Number : 830-792-2546
Fax Number :
Provider Business Practice Location Address
First Line : 3600 MEMORIAL BLVD
Second Line :
City : KERRVILLE
State : TX
Zip : 78028-5819
Country : US
Telephone Number : 830-896-2020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2026
Last Update Date : 03/10/2026

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