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NPI Code Detail

MEDICARE: MISS TIFFANI BOWS LPN

MEDICARE:  MISS TIFFANI  BOWS  LPN
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
1164W00000XLicensed Practical Nurse150016OH

General Provider Information

NPI Number : 1730825092
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS TIFFANI BOWS LPN
Provider Business Mailing Address
First Line : 5151 E 112TH ST
Second Line :
City : GARFIELD HTS
State : OH
Zip : 44125-2729
Country : US
Telephone Number : 216-527-7397
Fax Number :
Provider Business Practice Location Address
First Line : 5151 E 112TH ST
Second Line :
City : GARFIELD HTS
State : OH
Zip : 44125-2729
Country : US
Telephone Number : 216-527-7397
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2022
Last Update Date : 05/10/2022

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Directions to “ MISS TIFFANI BOWS LPN” Practice Location

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