Healthcare Provider Details

I. General information

NPI: 1447545884
Provider Name (Legal Business Name): TIFFANY BELL VINET M.D,
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TIFFANY BELL VINET M.D.

II. Dates (important events)

Enumeration Date: 06/14/2011
Last Update Date: 10/16/2023
Certification Date: 10/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE
CINCINNATI OH
45229-3026
US

IV. Provider business mailing address

515 MAIN ST APT 430
COVINGTON KY
41011-1647
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-5837
  • Fax:
Mailing address:
  • Phone: 404-772-7828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number71905
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.144267
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: