Provider Demographics
NPI:1588954879
Name:KIPPELS, DAYNA (RN, AAS)
Entity type:Individual
Prefix:
First Name:DAYNA
Middle Name:
Last Name:KIPPELS
Suffix:
Gender:F
Credentials:RN, AAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 HIGHWAY 13 E
Mailing Address - Street 2:SUITE 108
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-2884
Mailing Address - Country:US
Mailing Address - Phone:952-564-3000
Mailing Address - Fax:952-564-3031
Practice Address - Street 1:501 HIGHWAY 13 E
Practice Address - Street 2:SUITE 108
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-2884
Practice Address - Country:US
Practice Address - Phone:952-564-3000
Practice Address - Fax:952-564-3031
Is Sole Proprietor?:No
Enumeration Date:2011-04-08
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN197016-8163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse