Lundeen, Tiffany

Lundeen, Tiffany is an individual health care provider with primary practice located at 2450 Ashby Ave , Berkeley CA 94705-2067. 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. Lundeen, Tiffany can be contacted via phone (510) 204-3977.

Contact Information

Primary practice address
2450 Ashby Ave Berkeley CA 94705-2067
Phone: (510) 204-3977
Fax: (510) 204-5429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 11587 California

Profile Details

NPI number 1942257324
LBN Legal business name Lundeen, Tiffany
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated May 11th, 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 1942257324 NPPES
Connecticut MEDICAID 004235900
Connecticut Other 235694

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