Individual
TIFFANY RENEE PAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4977 NORTHCUTT PL, DAYTON, OH 45414-3839
(937) 387-6395
Mailing address
532 BRIGHT AVE APT 1, VANDALIA, OH 45377-1444
(440) 789-2744
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN.489573
OH
164W00000X
Licensed Practical Nurse
172866
OH
Other
Enumeration date
12/26/2019
Last updated
07/08/2021
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