Stauffer, Tatiana

Stauffer, Tatiana is an individual health care provider with primary practice located at 111 W High St Ste 204 , Elkton MD 21921-8611. 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. Stauffer, Tatiana can be contacted via phone (410) 620-0008.

Contact Information

Primary practice address
111 W High St Ste 204 Elkton MD 21921-8611
Phone: (410) 620-0008
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X OA006442 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA064444 Pennsylvania

Profile Details

NPI number 1619692506
LBN Legal business name Stauffer, Tatiana
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2022
Last updated Jul 15th, 2024 - about 2 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 1619692506 NPPES
Pennsylvania Other OA006442 STATE LICENSE
Pennsylvania Other MA064444 STATE LICENSE

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