Richardson, Tiffany Amber

Richardson, Tiffany Amber is an individual health care provider with primary practice located at 2316 South St , Lafayette IN 47904-2971. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Richardson, Tiffany Amber can be contacted via phone (765) 742-1567.

Contact Information

Primary practice address
2316 South St Lafayette IN 47904-2971
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 71012889A Indiana

Profile Details

NPI number 1386378230
LBN Legal business name Richardson, Tiffany Amber
Credentials WHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2022
Last updated Aug 11th, 2026 - about 3 months 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 1386378230 NPPES
Indiana MEDICAID 300066118
Indiana Other 71012889A

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