Healthcare Provider Details

I. General information

NPI: 1487476354
Provider Name (Legal Business Name): TIFFANY CHOHFI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/30/2024
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7535 E HAMPDEN AVE
DENVER CO
80231-4838
US

IV. Provider business mailing address

8380 ESTES CT
ARVADA CO
80005-2435
US

V. Phone/Fax

Practice location:
  • Phone: 303-715-0343
  • Fax:
Mailing address:
  • Phone: 720-277-5114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License NumberRN.1625319
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN.1625319
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: