Individual
TIFFANY FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
320 WHITTINGTON PKWY STE 301, LOUISVILLE, KY 40222-4919
(502) 379-1212
Mailing address
1214 BLOOM HILL AVE, VALRICO, FL 33596-8119
(919) 249-6470
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
126821
FL
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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