Healthcare Provider Details

I. General information

NPI: 1376470849
Provider Name (Legal Business Name): TIFFANY MONITA WILLIAMS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 E CENTRAL AVE STE 440
SPOKANE WA
99208-6290
US

IV. Provider business mailing address

3811 W LONGFELLOW AVE
SPOKANE WA
99205-1854
US

V. Phone/Fax

Practice location:
  • Phone: 509-951-7685
  • Fax:
Mailing address:
  • Phone: 509-252-9602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberRN.RN00161238.MSL
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: