Frasure, Tiffany J
Frasure, Tiffany J is an individual health care provider with primary practice located at 2845 Siena Heights Dr , Henderson NV 89052-4153. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Frasure, Tiffany J can be contacted via phone (702) 617-1227.Contact Information
Primary practice address
2845 Siena Heights Dr
Henderson NV 89052-4153
Phone: (702) 617-1227
Fax: (702) 492-9574
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA1478 | Nevada |
Profile Details
| NPI number | 1750702288 |
|---|---|
| LBN Legal business name | Frasure, Tiffany J |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 31st, 2013 |
| Last updated | Feb 2nd, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750702288 | NPPES |
| Nevada | MEDICAID | 1750702288 |
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