Individual
TIFFANY WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 W UNION ST, MUNFORDVILLE, KY 42765-8911
(270) 901-5000
Mailing address
380 SUWANNEE TRAIL ST, BOWLING GREEN, KY 42103-7956
(270) 901-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4032887
KY
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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