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NPI Code Detail

MEDICARE: TIFFANY SCIBORSKI

MEDICARE:   TIFFANY  SCIBORSKI
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
1163W00000XRegistered NurseRN60257572WA

General Provider Information

NPI Number : 1689215022
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY SCIBORSKI
Provider Business Mailing Address
First Line : 9251 2ND AVE NW
Second Line :
City : SEATTLE
State : WA
Zip : 98117-2012
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3013 S MOUNT BAKER BLVD
Second Line :
City : SEATTLE
State : WA
Zip : 98144-6139
Country : US
Telephone Number : 206-252-6157
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2019
Last Update Date : 10/07/2019

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Directions to “ TIFFANY SCIBORSKI ” Practice Location

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