Individual
TIFFANY LYNN LOUGHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-3658
(330) 480-3439
Mailing address
4135 BOARDMAN CANFIELD RD STE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRNCRNA0020173
OH
367500000X
Certified Registered Nurse Anesthetist
RN622212
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001422510
ANTHEM OH
OH
05
—
0420252
—
OH
01
—
13609572
CAQH
—
01
—
1I9497
MEDICARE PTAN
PA
01
—
H828800
MEDICARE PTAN
OH
Enumeration date
07/11/2013
Last updated
11/18/2024
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