Gray, Tiffany Chanel

Gray, Tiffany Chanel is an sole proprietor health care provider with primary practice located at 211 W Main St , Marshall WI 53559-8964. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Gray, Tiffany Chanel can be contacted via phone (608) 658-0271.

Contact Information

Primary practice address
211 W Main St Marshall WI 53559-8964
Phone: (608) 658-0271
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 31404531 Wisconsin
Nursing Service Providers / Registered Nurse 163W00000X 196082 - 30 Wisconsin

Profile Details

NPI number 1790121671
LBN Legal business name Gray, Tiffany Chanel
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2013
Last updated Jun 25th, 2013 - about 11 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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