Healthcare Provider Details

I. General information

NPI: 1104201219
Provider Name (Legal Business Name): TIFFANY L. YOHEY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2015
Last Update Date: 05/07/2024
Certification Date: 05/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

727 FAIRVIEW DR STE A
CARSON CITY NV
89701-5493
US

IV. Provider business mailing address

727 FAIRVIEW DR STE A
CARSON CITY NV
89701-5493
US

V. Phone/Fax

Practice location:
  • Phone: 775-684-5010
  • Fax: 775-687-1181
Mailing address:
  • Phone: 775-684-5010
  • Fax: 775-687-1181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN001973
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: