Individual
TIFFANY OGUNYEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
959 QUAIL LAKE CIR, APT 202, COLORADO SPRINGS, CO 80906-4605
(931) 215-8314
Mailing address
410 PIPING ROCK DR, SILVER SPRING, MD 20905-5652
(931) 215-8314
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R094961
AR
367500000X
Certified Registered Nurse Anesthetist
0992536
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
AC002559
MD
Other
Enumeration date
05/10/2016
Last updated
07/23/2020
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