Individual
TIFFANY HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 DUBOIS DR, WARSAW, IN 46580-3210
(574) 267-3200
Mailing address
5185 GUFFIN RD, BARTLETT, TN 38135-6189
(404) 980-6000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209021012
IL
367500000X
Certified Registered Nurse Anesthetist
28246760A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN0000026307
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214881
MEDICAL GROUP PTAN
IL
Enumeration date
07/18/2018
Last updated
08/19/2022
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