Individual
TIFFANY HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4406 HUNSINGER LN, LOUISVILLE, KY 40220-3206
(502) 504-2640
Mailing address
4406 HUNSINGER LN, LOUISVILLE, KY 40220-3206
(502) 504-2640
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1114880
KY
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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