TIFFANY D REABOLD CRNP NPI 1053392373

NPI Information

NPI: 1053392373
Provider Name: TIFFANY D REABOLD, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
910 FREDERICK RD
CATONSVILLE, MD
ZIP 21228
Phone: (410) 644-1880
Get Directions

Tiffany D Reabold, CRNP is a family nurse practitioner in Catonsville, MD with 21 years of experience. Tiffany D Reabold, CRNP NPI is 1053392373. 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:

910 FREDERICK RD
CATONSVILLE, MD
ZIP 21228-516
Phone: (410) 644-1880
Fax: (410) 646-3623

The NPI 1053392373 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 11/14/2005 and was last updated on 3/1/2020.

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	363L00000X	Nurse Practitioner		R137035	MARYLAND	No
2	363LF0000X	Nurse Practitioner	Family	R137035	MARYLAND	Yes

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: 4/28/2024

NPI Synchronization or Removal

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