Tate-Woodard, Tiffany Reed
Tate-Woodard, Tiffany Reed is an individual health care provider with primary practice located at 408 Jungermann Rd , Saint Peters MO 63376-2799. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Tate-Woodard, Tiffany Reed can be contacted via phone (636) 449-5757.Contact Information
Primary practice address
408 Jungermann Rd
Saint Peters MO 63376-2799
Phone: (636) 449-5757
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 2020000525 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 2020000525 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 2020000525 | Missouri |
Profile Details
| NPI number | 1639719230 |
|---|---|
| LBN Legal business name | Tate-Woodard, Tiffany Reed |
| Credentials | AGNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2020 |
| Last updated | Mar 25th, 2020 - about 6 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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