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Contact Information

TIFFANY A FANSLER, RN
200 HONEYSUCKLE DR
MATHIAS, WV26812-8573
 Phone: 304-490-9674
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for TIFFANY A FANSLER · (Female)

NPI Number 1508472325
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 09/17/2020
Last updated 09/17/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • WV License # 66328
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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