MEDICARE: MS. TIFFANY L HUDSON

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	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1770224933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TIFFANY L HUDSON

Provider Business Mailing Address
First Line	:	7721 CONSTANSO AVE UNIT 203
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-8040
Country	:	US
Telephone Number	:	702-498-1570
Fax Number	:

Provider Business Practice Location Address
First Line	:	7721 CONSTANSO AVE UNIT 203
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-8040
Country	:	US
Telephone Number	:	702-498-1570
Fax Number	:

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

Provider Enumeration Date	:	04/03/2022
Last Update Date	:	04/03/2022

Similar Medicare Providers

1205143047 — CATHERINE HOPE MARTINEZ LSW
Practice Location Address:

8040 COPPERHEAD CREEK ST
LAS VEGAS, NV
89143-5174

Practice Phone: 702-648-8311
Practice Fax:

1235430349 — FREEDOM MEDICAL SUPPLY LLC
Practice Location Address:

8040 S EASTERN AVE
LAS VEGAS, NV
89123-2526

Practice Phone: 702-386-9997
Practice Fax: 702-228-9996

1669754438 — MR. JOHNNY EDWARD JOHNSON JR.
Practice Location Address:

8040 MAPLE PARK ST
LAS VEGAS, NV
89131-5289

Practice Phone: 702-858-8884
Practice Fax: 702-586-3334

1861766990 — JACKOLINE B EWIG
Practice Location Address:

8040 GREENBUSH DR
LAS VEGAS, NV
89117-3768

Practice Phone: 702-247-9534
Practice Fax:

1598520058 — MONICA PITTS
Practice Location Address:

10491 WILDFLOWER GULLY ST
LAS VEGAS, NV
89178-8040

Practice Phone: 702-767-7229
Practice Fax:

1942008818 — LISA FOSTER LMT
Practice Location Address:

8040 CARR VALLEY ST
LAS VEGAS, NV
89131-5292

Practice Phone: 562-965-7829
Practice Fax:

Directions to “ MS. TIFFANY L HUDSON ” 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.