Padilla, Tiffany Michelle

Padilla, Tiffany Michelle is an individual health care provider with primary practice located at 1 Saint Vincent Cir Ste 210 , Little Rock AR 72205-5407. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Padilla, Tiffany Michelle can be contacted via phone (501) 552-6830.

Contact Information

Primary practice address
1 Saint Vincent Cir Ste 210 Little Rock AR 72205-5407
Phone: (501) 552-6830
Fax: (501) 552-4178
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X A01732 Arkansas

Profile Details

NPI number 1497765010
LBN Legal business name Padilla, Tiffany Michelle
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Aug 15th, 2022 - 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 1497765010 NPPES
Arkansas MEDICAID 185074758

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