TIFFANY LORRAINE WILES


Address: 2533 Holly Laurel Mnr, Conroe, TX 77304-5187
Phone: 9282302547

TIFFANY LORRAINE WILES (NPI# 1598375800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598375800
Entity Type Individual
Full Name TIFFANY LORRAINE WILES
Practice Address 2533 Holly Laurel Mnr
Conroe
TX 77304-5187
Practice Telephone 9282302547
Mailing Telephone 9282302547
Enumeration Date 2020-08-03
Last Update Date 2020-08-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0200X Registered Nurse
Specialization: Critical Care Medicine
933195 TX Nursing Service Providers

Office Location

Street Address 2533 HOLLY LAUREL MNR
City CONROE
State TX
Zip Code 77304-5187

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Taxonomy Information

Taxonomy Code 163WC0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

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Competitor

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City CONROE
Zip Code 77304

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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