MEDICARE: TIFFANY TRIOL APRN

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
1	208M00000X	Hospitalist Physician	APRN.CNP.0030549	OH
2	207Q00000X	Family Medicine Physician	APRN.CNP.0030549	OH

General Provider Information

NPI Number	:	1427709690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY TRIOL APRN

Provider Business Mailing Address
First Line	:	2034 ATWOOD TER
Second Line	:
City	:	COSHOCTON
State	:	OH
Zip	:	43812-3003
Country	:	US
Telephone Number	:	330-937-4387
Fax Number	:

Provider Business Practice Location Address
First Line	:	2034 ATWOOD TER
Second Line	:
City	:	COSHOCTON
State	:	OH
Zip	:	43812-3003
Country	:	US
Telephone Number	:	330-937-4387
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2022
Last Update Date	:	01/10/2022

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Directions to “ TIFFANY TRIOL APRN” Practice Location

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