Walton, Tiffany Marie

Walton, Tiffany Marie is an sole proprietor health care provider with primary practice located at 149 Virgil Ave , Buffalo NY 14216-1805. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Case Management, Nursing Service Providers / Pediatrics. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Walton, Tiffany Marie can be contacted via phone (716) 936-1873.

Contact Information

Primary practice address
149 Virgil Ave Buffalo NY 14216-1805
Phone: (716) 936-1873
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 10304898 New York
Nursing Service Providers / Case Management 163WC0400X 22685068 New York
Nursing Service Providers / Pediatrics 163WP0200X 22685068 New York

Profile Details

NPI number 1811313877
LBN Legal business name Walton, Tiffany Marie
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2014
Last updated Jun 6th, 2015 - about 9 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 1811313877 NPPES
New York MEDICAID 03810262

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