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NPI Code Detail

MEDICARE: MS. TIFFANY K HILLYARD APRN

MEDICARE: MS. TIFFANY K HILLYARD APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner111522NE

General Provider Information

NPI Number : 1215364484
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TIFFANY K HILLYARD APRN
Provider Business Mailing Address
First Line : 988102 NEBRASKA MEDICAL CTR
Second Line :
City : OMAHA
State : NE
Zip : 68198-8102
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4350 DEWEY AVE
Second Line :
City : OMAHA
State : NE
Zip : 68105-1017
Country : US
Telephone Number : 402-559-9228
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2013
Last Update Date : 10/22/2020

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