TIFFANY L HAYNIE PA-C NPI 1093110603

NPI Information

NPI: 1093110603
Provider Name: TIFFANY L HAYNIE, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: MA AM EXAMS INC

PECOS Registration: Yes

Address:
1684 E BOSTON ST STE 102
GILBERT, AZ
ZIP 85295
Phone: (480) 448-2411
Get Directions

Tiffany L Haynie, PA-C is a medical physician assistant in Gilbert, AZ with 10 years of experience. Tiffany L Haynie, PA-C NPI is 1093110603. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1684 E BOSTON ST STE 102
GILBERT, AZ
ZIP 85295-220
Phone: (480) 448-2411
Fax: (480) 476-8718

The NPI 1093110603 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/24/2014 and was last updated on 7/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	5801	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5801	OTHER	ARIZONA	STATE LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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