MS. TIFFANY E MATHIS
NPI 1184977530
Registered Nurse - School in Burien, WA
Active since October 23, 2012
About Ms. Tiffany E Mathis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. TIFFANY E MATHIS (NPI 1184977530) is an individual school provider in Burien, Washington, licensed in Washington (60163833) and active in the NPI registry since October 2012.
NPPES Registry Identity
NPI1184977530
Entity TypeIndividualFemale
Primary Taxonomy163WS0200X
Provider Legal NameMS. TIFFANY E MATHIS
Location Address15675 AMBAUM BLVD SWBurien, WA 98166-2523
Mailing Address150 Sw 156th St Apt 205Burien, WA 98166-2558 · (206) 445-8469
Phone(206) 433-2413
Sole ProprietorYes
Enumeration DateOctober 23, 2012
✔ NPI 1184977530 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers
Taxonomy Code163WS0200X
License✔ Licensed in WA · 60163833
15675 AMBAUM BLVD SW, Burien, WA 98166
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Student in an Organized Health Care Education/Training Program
15675 AMBAUM BLVD SW
BURIEN, WA 98166
BURIEN, WA 98166
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184977530, enumerated as an "individual" on October 23, 2012.
The provider is located at 15675 AMBAUM BLVD SW BURIEN, WA 98166 and the phone number is (206) 433-2413.
Registered Nurse with taxonomy code 163WS0200X and a focus in School.
