Bartolac, Tiffani Sandra

Bartolac, Tiffani Sandra is an sole proprietor health care provider with primary practice located at 711 Medical Village Dr , Edgewood KY 41017-3439. She recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bartolac, Tiffani Sandra can be contacted via phone (859) 331-0774.

Contact Information

Primary practice address
711 Medical Village Dr Edgewood KY 41017-3439
Phone: (859) 331-0774
Fax: (859) 578-3800
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN CNP 019769 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3012078 Kentucky

Profile Details

NPI number 1427087857
LBN Legal business name Bartolac, Tiffani Sandra
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2006
Last updated Jan 4th, 2022 - 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 1427087857 NPPES
Kentucky Other 184607 MEDICARE GROUP NUMBER

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