Rose, Tiffani

Rose, Tiffani is an sole proprietor health care provider with primary practice located at 4580 Commons Park Dr , New Albany OH 43054-8699. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Rose, Tiffani can be contacted via phone (614) 710-0077.

Contact Information

Primary practice address
4580 Commons Park Dr New Albany OH 43054-8699
Phone: (614) 710-0077
Fax: (614) 710-0077
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN267314 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X COA.17574-NP Ohio

Profile Details

NPI number 1255679171
LBN Legal business name Rose, Tiffani
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2013
Last updated Nov 12th, 2019 - about 5 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 1255679171 NPPES
Ohio MEDICAID 0088547

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