Tiffany Marie Young, RN
Individual provider Active NPI Registered Nurse · Cameron, WI
NPI 1962762856 · NPPES record last updated May 24, 2012
Key facts
- NPI
- 1962762856
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 17174830 (WI)
- Practice address
- 1951 14TH Ave
Cameron, WI 54822-9795 - Phone
- (715) 418-0373
- NPI assigned
- May 24, 2012
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17174830 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 17174830 | WI | Yes |
Addresses
Primary practice location
1951 14TH Ave
Cameron, WI 54822-9795
Mailing address
1951 14TH Ave
Cameron, WI 54822-9795
Phone (715) 418-0373
Other providers in Cameron, WI
All providers in Cameron, WI · Registered Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2012. 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.