Provider Demographics
NPI:1033858790
Name:GUENTHER, TIFFANY ANN (CD)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:ANN
Last Name:GUENTHER
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7429 125TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:NEWCASTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98056-1206
Mailing Address - Country:US
Mailing Address - Phone:206-876-0951
Mailing Address - Fax:
Practice Address - Street 1:7429 125TH AVE SE
Practice Address - Street 2:
Practice Address - City:NEWCASTLE
Practice Address - State:WA
Practice Address - Zip Code:98056-1206
Practice Address - Country:US
Practice Address - Phone:206-876-0951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-01
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty