Lancaster, Tiffany Clarke

Lancaster, Tiffany Clarke is an individual health care provider with primary practice located at 10410 Ridgefield Parkway , Richmond VA 23233. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Lancaster, Tiffany Clarke can be contacted via phone (804) 754-3776.

Contact Information

Primary practice address
10410 Ridgefield Parkway Richmond VA 23233
Phone: (804) 754-3776
Fax: (804) 754-0880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0024166969 Virginia

Profile Details

NPI number 1831128461
LBN Legal business name Lancaster, Tiffany Clarke
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Sep 3rd, 2013 - about 13 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 1831128461 NPPES
Virginia MEDICAID 010293979
Virginia MEDICAID 010293987
Virginia Other 010293979
Virginia Other 224189800
Virginia Other 010293987
Virginia MEDICAID 010294011

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