Fowler, Tiffany Ann

Fowler, Tiffany Ann is an individual health care provider with primary practice located at 2376 Cypress Cir Ste 200 , Conway SC 29526-8994. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Fowler, Tiffany Ann can be contacted via phone (843) 347-7216.

Contact Information

Primary practice address
2376 Cypress Cir Ste 200 Conway SC 29526-8994
Phone: (843) 347-7216
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1366001752
LBN Legal business name Fowler, Tiffany Ann
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2019
Last updated Aug 12th, 2022 - about 3 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 1366001752 NPPES
South Carolina MEDICAID MW0265

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