Radney, Tiffanie Diane

Radney, Tiffanie Diane is an individual health care provider with primary practice located at 295 Patterson Rd , Haines City FL 33844-6247. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Radney, Tiffanie Diane can be contacted via phone (863) 422-4338.

Contact Information

Primary practice address
295 Patterson Rd Haines City FL 33844-6247
Phone: (863) 422-4338
Fax: (863) 422-3736
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9235190 Florida

Profile Details

NPI number 1821405911
LBN Legal business name Radney, Tiffanie Diane
Credentials ARNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2014
Last updated Nov 4th, 2014 - about 12 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 1821405911 NPPES
Florida MEDICAID 013020400

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