Gifford, Tina
Gifford, Tina is an individual health care provider with primary practice located at 150 Health Partners Cir , Mount Orab OH 45154-8610. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gifford, Tina can be contacted via phone (937) 444-2514.Contact Information
Primary practice address
150 Health Partners Cir
Mount Orab OH 45154-8610
Phone: (937) 444-2514
Fax: (937) 444-4818
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3014588 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN.CNP.026675 | Ohio |
Profile Details
| NPI number | 1801417282 |
|---|---|
| LBN Legal business name | Gifford, Tina |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2020 |
| Last updated | Nov 5th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801417282 | NPPES |
| Kentucky | Other | 3014588 | KENTUCKY APRN LICENSE |
| Kentucky | MEDICAID | 0415042 | KENTUCKY APRN LICENSE |
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