Luttrell, Tiffany Dawn

Luttrell, Tiffany Dawn is an individual health care provider with primary practice located at 800 E Dawson St , Tyler TX 75701. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Luttrell, Tiffany Dawn can be contacted via phone (903) 606-4522.

Contact Information

Primary practice address
800 E Dawson St Tyler TX 75701
Phone: (903) 606-4522
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 652703 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP120053 Texas

Profile Details

NPI number 1982902888
LBN Legal business name Luttrell, Tiffany Dawn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2011
Last updated Nov 22nd, 2019 - about 5 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 1982902888 NPPES
Texas Other 291790YQ8A MEDICARE
Texas Other 75-2771569-008 MEDICARE
Texas Other 8512UE MEDICARE
Texas Other P01877246 MEDICARE
Texas Other 75-0818167-015 MEDICARE
Texas MEDICAID 280097104 MEDICARE
Texas MEDICAID 280097105 MEDICARE
Texas Other P01196965 MEDICARE
Texas Other 291790YN3X MEDICARE
Texas Other 8512UE MEDICARE
Texas Other P01196965 MEDICARE

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