Nelson, Tiffany

Nelson, Tiffany is an sole proprietor health care provider with primary practice located at 4700 Wichers Dr 205, Marrero LA 70072-3041. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Agencies / Community/Behavioral Health. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Nelson, Tiffany can be contacted via phone (504) 407-0709.

Contact Information

Primary practice address
4700 Wichers Dr 205 Marrero LA 70072-3041
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Agencies / Community/Behavioral Health 251S00000X 464581059 Louisiana

Profile Details

NPI number 1730552753
LBN Legal business name Nelson, Tiffany
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2015
Last updated Nov 27th, 2018 - about 6 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 1730552753 NPPES
Louisiana MEDICAID 464581059

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