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
Fax: (937) 444-4818
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801417282 NPPES
Kentucky Other 3014588 KENTUCKY APRN LICENSE
Kentucky MEDICAID 0415042 KENTUCKY APRN LICENSE

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