Provider Demographics
NPI:1477051522
Name:RIEPENHOFF, TIFFANY ALYSE (NP)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:ALYSE
Last Name:RIEPENHOFF
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:
Other - Last Name:FRANK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:TIFFANY FRANK
Mailing Address - Street 1:3333 BURNET AVE
Mailing Address - Street 2:ML 7017
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3026
Mailing Address - Country:US
Mailing Address - Phone:513-636-4578
Mailing Address - Fax:513-636-7039
Practice Address - Street 1:3333 BURNET AVE
Practice Address - Street 2:ML 7017
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229
Practice Address - Country:US
Practice Address - Phone:513-636-4578
Practice Address - Fax:513-636-7039
Is Sole Proprietor?:No
Enumeration Date:2018-01-24
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.021568363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily