Individual
TIFFINY TYREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 PHILPOTT LN, BEAVER, WV 25813-9501
(304) 254-9262
Mailing address
PO BOX 124, MINDEN, WV 25879-0124
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
32793
WV
Other
Enumeration date
02/22/2021
Last updated
02/05/2025
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