Individual
TIFFANY NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57 N 11TH ST, RICHMOND, VA 23298-3635
(804) 828-9000
Mailing address
1137 W GRACE ST APT 208, RICHMOND, VA 23220-3635
(281) 797-6771
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001303022
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024192500
VA
Other
Enumeration date
01/31/2023
Last updated
02/16/2025
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