Taylor-Mduba, Tiffany Sidra

Taylor-Mduba, Tiffany Sidra is an individual health care provider with primary practice located at 58375 Twentynine Palms Hwy Suite B, Yucca Valley CA 92284. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Taylor-Mduba, Tiffany Sidra can be contacted via phone (760) 365-9305.

Contact Information

Primary practice address
58375 Twentynine Palms Hwy Suite B Yucca Valley CA 92284
Phone: (760) 365-9305
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 818748 California
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 95020695 California

Profile Details

NPI number 1508500760
LBN Legal business name Taylor-Mduba, Tiffany Sidra
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2022
Last updated Apr 25th, 2022 - about 3 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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