Individual
TIFFANY NIEMOLLER EADY
Active
Individual
TIFFANY NIEMOLLER EADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
307097
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201308550A
—
OK
Enumeration date
03/20/2013
Last updated
01/08/2025
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