Healthcare Provider Details

I. General information

NPI: 1982747572
Provider Name (Legal Business Name): TIFFANY LYNN BIER R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 11/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1733 N ENOS CT
VISALIA CA
93292-2397
US

IV. Provider business mailing address

7888 FARGO PL
HANFORD CA
93230-9426
US

V. Phone/Fax

Practice location:
  • Phone: 559-362-0383
  • Fax:
Mailing address:
  • Phone: 559-585-1027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number508331
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number508331
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number508331
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: