Individual
TIFFINY NICOLE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
300 OXFORD DR, MONROEVILLE, PA 15146-2361
(412) 229-5500
(412) 229-5499
Mailing address
7436 IRVINE ST, PITTSBURGH, PA 15218-2424
(412) 316-7059
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN305023
PA
Other
Enumeration date
07/28/2017
Last updated
07/28/2017
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