MEDICARE: TIFFANY SHEREE PUESCHEL CNM

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
1	176B00000X	Midwife	MW010151	PA
2	367A00000X	Advanced Practice Midwife	MW010151	PA

General Provider Information

NPI Number	:	1629270418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY SHEREE PUESCHEL CNM

Provider Business Mailing Address
First Line	:	694 GOOD DR
Second Line	:	SUITE 112
City	:	LANCASTER
State	:	PA
Zip	:	17601-2433
Country	:	US
Telephone Number	:	717-397-8177
Fax Number	:	717-397-2426

Provider Business Practice Location Address
First Line	:	694 GOOD DR SUITE 112
Second Line	:	DRS MAY GRANT ASSOCIATES
City	:	LANCASTER
State	:	PA
Zip	:	17601
Country	:	US
Telephone Number	:	717-397-8177
Fax Number	:	717-397-2426

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2007
Last Update Date	:	02/19/2026

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