Maxey, Tiffany
Maxey, Tiffany is an individual health care provider with primary practice located at 114 W 11Th St Hms Med Square, Silver City NM 88061-5124. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Maxey, Tiffany can be contacted via phone (575) 388-1511.Contact Information
Primary practice address
114 W 11Th St Hms Med Square
Silver City NM 88061-5124
Phone: (575) 388-1511
Fax: (575) 542-2388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2014-0001 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA2014-0001 | New Mexico |
Profile Details
| NPI number | 1780007104 |
|---|---|
| LBN Legal business name | Maxey, Tiffany |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2014 |
| Last updated | Feb 25th, 2016 - about 9 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 | 1780007104 | NPPES |
| New Mexico | MEDICAID | 96120321 | |
| New Mexico | Other | 332530YKWY |
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