MRS. TIFFANY M WAITES FNP NPI 1972891364

NPI Information

MRS. Tiffany M Waites, FNP is a family nurse practitioner in Dallas, TX with 13 years of experience. MRS. Tiffany M Waites, FNP NPI is 1972891364. 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:

3600 GASTON AVE
BARNETT TOWER, STE 605
DALLAS, TX
ZIP 75246-800
Phone: (214) 820-7227
Fax: (214) 820-7227

The NPI 1972891364 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 7/19/2011 and was last updated on 3/24/2017.

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:

Other Identifiers

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

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