Maxey, Tiffany

Maxey, Tiffany is an individual health care provider with primary practice located at 114 W 11Th St Hms Med Square, Silver City NM 88061-5124. 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 / Medical is her primary health care specialty. Maxey, Tiffany can be contacted via phone (575) 388-1511.

Contact Information

Primary practice address
114 W 11Th St Hms Med Square Silver City NM 88061-5124
Phone: (575) 388-1511
Fax: (575) 542-2388
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2014-0001 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2014-0001 New Mexico

Profile Details

NPI number 1780007104
LBN Legal business name Maxey, Tiffany
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2014
Last updated Feb 25th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780007104 NPPES
New Mexico MEDICAID 96120321
New Mexico Other 332530YKWY

Popular Providers