MEDICARE: TIFFANY T ALSTON TIFFANY

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	103TR0400X	Rehabilitation Psychologist	225400000X	NV

General Provider Information

NPI Number	:	1730431115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY T ALSTON TIFFANY

Provider Business Mailing Address
First Line	:	1313 PACIFIC TERRACE DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0503
Country	:	US
Telephone Number	:	702-372-4624
Fax Number	:

Provider Business Practice Location Address
First Line	:	1313 PACIFIC TERRACE DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0503
Country	:	US
Telephone Number	:	702-372-4624
Fax Number	:

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

Provider Enumeration Date	:	10/09/2012
Last Update Date	:	10/09/2012

Similar Medicare Providers

1669577037 — GREATER LAS VEGAS DIALYSIS LLC
Practice Location Address:

653 N TOWN CENTER DR , STE 70
LAS VEGAS, NV
89144-0503

Practice Phone: 702-360-6908
Practice Fax: 702-360-7806

1710975420 — MENTE DALERE MD
Practice Location Address:

653 N TOWN CENTER DR STE 10
LAS VEGAS, NV
89144-0503

Practice Phone: 702-733-0981
Practice Fax:

1437291069 — ROBERT S JEROME M.D.
Practice Location Address:

653 N TOWN CENTER DR STE 80
LAS VEGAS, NV
89144-0503

Practice Phone: 702-765-5437
Practice Fax: 702-240-7268

1982994778 — RED ROCK PODIATRY INC
Practice Location Address:

653 N TOWN CENTER DR STE 80
LAS VEGAS, NV
89144-0503

Practice Phone: 702-233-7979
Practice Fax:

1174107940 — LAKAISH L SMITH
Practice Location Address:

279 N LAMB BLVD UNIT H
LAS VEGAS, NV
89110-0503

Practice Phone: 702-504-8052
Practice Fax:

1558061663 — BRENNAN RILEY TRUMAN DMD
Practice Location Address:

9500 OJIBWA AVE
LAS VEGAS, NV
89149-0503

Practice Phone: 702-371-6891
Practice Fax:

Directions to “ TIFFANY T ALSTON TIFFANY” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.