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
Phone: (504) 407-0709
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730552753 | NPPES |
Louisiana | MEDICAID | 464581059 |
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