Pellathy, Tiffany D.

Pellathy, Tiffany D. is an sole proprietor health care provider with primary practice located at 3000 Village Run Rd Bldg. 103-202, Wexford PA 15090-6315. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Pellathy, Tiffany D. can be contacted via phone (412) 867-9585.

Contact Information

Primary practice address
3000 Village Run Rd Bldg. 103-202 Wexford PA 15090-6315
Phone: (412) 867-9585
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AC000410 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X AC000410 Maryland

Profile Details

NPI number 1558436774
LBN Legal business name Pellathy, Tiffany D.
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2006
Last updated Jan 31st, 2011 - about 13 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 1558436774 NPPES
Maryland MEDICAID 415096100

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