Tifney Madalena, LPN
Individual provider Active NPI Licensed Practical Nurse · Owyhee, NV
NPI 1366876294 · NPPES record last updated Aug 28, 2013
Key facts
- NPI
- 1366876294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LP042430 (AZ)
- Practice address
- 1623 Hospital Loop
Owyhee, NV 89832 - Phone
- (775) 757-2415
- NPI assigned
- Aug 28, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP042430 | AZ | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP042430 | AZ | Yes |
Addresses
Primary practice location
1623 Hospital Loop
Owyhee, NV 89832
Mailing address
1623 Hospital Loop
Owyhee, NV 89832
Phone (775) 757-2415
Other providers in Owyhee, NV
- Seth Howard
- Raymond Andrew Jim Jr.
- Craig Larry Lathen
- Katherine Susanne Law
- Christopher C Lynch
- Lorraine Kay Marshall
- Lucas Mason
- Deborah J Moreau
- Nancy June Munger
- Owyhee Community Health Care Facility
All providers in Owyhee, NV · Licensed Practical Nurse in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.