# TIFFANY R TONISMAE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1245505478
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | 57470 | KY | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | MD70070337 | WA | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | ME140511 | FL | — |

## Other

- **Enumeration date:** 03/21/2012
- **Last updated:** 12/04/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 102693500 | — | FL |