Individual
TIFFANY DANIELLE HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
911 BYPASS RD, PIKEVILLE, KY 41501-1689
(606) 218-3500
Mailing address
PO BOX 2917, PIKEVILLE, KY 41502-2917
(606) 218-3500
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3005532
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100088610
—
KY
Enumeration date
01/14/2008
Last updated
06/04/2014
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