Provider Demographics
NPI:1033727151
Name:COWAN, TIFFANY NICHOLE (RRT)
Entity Type:Individual
Prefix:MS
First Name:TIFFANY
Middle Name:NICHOLE
Last Name:COWAN
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9670 STONEY MESA CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89139-7403
Mailing Address - Country:US
Mailing Address - Phone:702-376-3995
Mailing Address - Fax:
Practice Address - Street 1:9670 STONEY MESA CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89139-7403
Practice Address - Country:US
Practice Address - Phone:702-376-3995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-15
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRC32972278G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGeneral Care