Matheny, Tiffany Nichole

Matheny, Tiffany Nichole is an individual health care provider with primary practice located at 1201 Penn Ave , Des Moines IA 50316-2339. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Matheny, Tiffany Nichole can be contacted via phone (515) 266-1000.

Contact Information

Primary practice address
1201 Penn Ave Des Moines IA 50316-2339
Fax: (515) 266-1824
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A108272 Iowa

Profile Details

NPI number 1467791558
LBN Legal business name Matheny, Tiffany Nichole
Credentials A.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2013
Last updated Oct 31st, 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 1467791558 NPPES
Iowa MEDICAID 1467791558

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