Fasano, Tiffany

Fasano, Tiffany is an individual health care provider with primary practice located at 1950 Nw Myhre Rd Fl 3 , Silverdale WA 98383-7662. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Fasano, Tiffany can be contacted via phone (564) 240-4200.

Contact Information

Primary practice address
1950 Nw Myhre Rd Fl 3 Silverdale WA 98383-7662
Phone: (564) 240-4200
Fax: (564) 240-4299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA61263669 Washington
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 9541054-1206 Utah

Profile Details

NPI number 1760852545
LBN Legal business name Fasano, Tiffany
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2015
Last updated Sep 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760852545 NPPES
Washington MEDICAID 2211780

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