Vorderstrasse, Tiffany J.
Vorderstrasse, Tiffany J. is an individual health care provider with primary practice located at 105 Far West Dr. Ste. 105, St. Joseph MO 64506-3514. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Vorderstrasse, Tiffany J. can be contacted via phone (816) 271-8110.Contact Information
Primary practice address
105 Far West Dr. Ste. 105
St. Joseph MO 64506-3514
Phone: (816) 271-8110
Fax: (816) 271-8104
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2011006710 | Missouri |
Profile Details
NPI number | 1003114802 |
---|---|
LBN Legal business name | Vorderstrasse, Tiffany J. |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 3rd, 2011 |
Last updated | Dec 11th, 2017 - about 7 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 | 1003114802 | NPPES |
Kansas | MEDICAID | 200691530A | |
Kansas | MEDICAID | 1003114802 |
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