Tiffany K Main in Joplin - Nurse Practitioner
Tiffany K Main - NPI 1750327706
Tiffany K Main is a Nurse Practitioner in Joplin, Missouri. Tiffany K Main practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Tiffany K Main is 1750327706. The last update date is 2015-03-16.
Tiffany K Main's current location address is Po Box 3810, Joplin, Missouri. You can contact this provider via phone number 4173476400 and fax number 4173476404. The mailing address for Tiffany K Main is Po Box 3810, Joplin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tiffany K Main |
|---|---|
| Address | Po Box 3810, Joplin, Missouri |
| Phone Number | 4173476400 |
| Fax Number | 4173476404 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1750327706 |
|---|---|
| Provider Enumeration Date | 2006-06-20 |
| Last Updated Date | 2015-03-16 |
Provider Mailing Address Detail
| Address | Po Box 3810 |
|---|---|
| City | Joplin |
| State | Missouri (MO) |
| Post Code | 648033810 |
| Phone Number | 4173476400 |
| Fax Number | 4173476404 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 45333 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100850610A | OK | -- | |
| 100429300A | KS | -- | |
| 160904 | KS | KS BCBS | |
| 425962602 | MO | -- | |
| 500027083 | RR MEDICARE |
Post Comment/ Review Below
Could you provide the complete physical address where Tiffany K Main is located?
The Tiffany K Main is situated at the following address: Po Box 3810, Joplin, MO, 648033810.
What is Tiffany K Main's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tiffany K Main's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
What is Tiffany K Main's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tiffany K Main is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1750327706 to Tiffany K Main?
The Centers for Medicare & Medicaid Services assigned the 1750327706 to Tiffany K Main on 2006-06-20.
When was the information related to Tiffany K Main most recently updated or refreshed?
The details pertaining to the Tiffany K Main, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-03-16.