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Individual

MRS. TIFFANY MARIE WILSON

Active
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Individual

MRS. TIFFANY MARIE WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LM, CPM

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
602996357
WA
175M00000X
Lay Midwife
176B00000X
Midwife
Primary
60829254
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60829254
WA
Enumeration date
02/08/2011
Last updated
07/10/2018
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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