DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TIFFANY CRISP

MEDICARE: TIFFANY CRISP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational Nurse684576CA

General Provider Information

NPI Number : 1326542069
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY CRISP
Provider Business Mailing Address
First Line : 2945 MCMILLAN AVE STE 240
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-6771
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2945 MCMILLAN AVE STE 240
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-6771
Country : US
Telephone Number : 805-439-4890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2018
Last Update Date : 03/19/2018

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:
211 CALLE MORSE
ARROYO, PR
00714-2350
Practice Phone: 787-839-3980
Practice Fax: 787-271-2515
1578232260 — KORINA TREZZA-DEL VALLE
Practice Location Address:
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA
93401-6771
Practice Phone: 805-439-4890
Practice Fax:
1366613341 — HAYLEY ANN RYAN
Practice Location Address:
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA
93401-6771
Practice Phone: 805-439-4890
Practice Fax:
1629409800 — STEFANIE FERNANDEZ
Practice Location Address:
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA
93401-6771
Practice Phone: 805-439-4839
Practice Fax:
1891298758 — YEJI LEE ACSW
Practice Location Address:
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA
93401-6771
Practice Phone: 805-439-4890
Practice Fax: 805-439-4891
1871097261 — REBECCA JEAN LAND
Practice Location Address:
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA
93401-6771
Practice Phone: 805-439-4890
Practice Fax:

Directions to “ TIFFANY CRISP ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.