MEDICARE: TIFFANY ARMES PMHNP-BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	2000149853	MO

General Provider Information

NPI Number	:	1962803916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY ARMES PMHNP-BC

Provider Business Mailing Address
First Line	:	1055 MADISON 9546
Second Line	:
City	:	FREDERICKTOWN
State	:	MO
Zip	:	63645-9303
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 FARRAR DR
Second Line	:
City	:	CAPE GIRARDEAU
State	:	MO
Zip	:	63701-4902
Country	:	US
Telephone Number	:	573-334-7055
Fax Number	:

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

Provider Enumeration Date	:	09/09/2014
Last Update Date	:	09/09/2014

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