Individual
TIFFANY CELESTE GILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
830 5TH AVE STE 202, CHAMBERSBURG, PA 17201
(717) 709-7990
(717) 709-7991
Mailing address
22 ST PAUL DR STE 200, CHAMBERSBURG, PA 17201-1036
(717) 709-7922
(717) 263-2055
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
MW010399
PA
367A00000X
Advanced Practice Midwife
RN233119
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103134047
—
PA
01
—
RN233119
GA LICENSE
GA
Enumeration date
08/09/2013
Last updated
05/30/2019
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