Provider Demographics
NPI:1689648586
Name:LIPSCOMB, ANN NAYLOR (FNP, RN)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:NAYLOR
Last Name:LIPSCOMB
Suffix:
Gender:F
Credentials:FNP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3510 BASFORD RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78722-1306
Mailing Address - Country:US
Mailing Address - Phone:512-472-7270
Mailing Address - Fax:512-439-0702
Practice Address - Street 1:7000 WOODHUE DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-5454
Practice Address - Country:US
Practice Address - Phone:512-439-0101
Practice Address - Fax:512-439-0702
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX522153363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX84P488Medicare ID - Type Unspecified
TXP71334Medicare UPIN