Wisdom-Goulbourne, Tiffany

Wisdom-Goulbourne, Tiffany is an sole proprietor health care provider with primary practice located at 420 S 5Th Ave , West Reading PA 19611-2143. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Wisdom-Goulbourne, Tiffany can be contacted via phone (484) 628-8000.

Contact Information

Primary practice address
420 S 5Th Ave West Reading PA 19611-2143
Phone: (484) 628-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X SP029670 Pennsylvania

Profile Details

NPI number 1942041553
LBN Legal business name Wisdom-Goulbourne, Tiffany
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2024
Last updated Jun 6th, 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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