Provider Demographics
NPI:1497483804
Name:RANEY, TIFFANY (ARNP)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:RANEY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2999 S WATERFORD DR
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203-4410
Mailing Address - Country:US
Mailing Address - Phone:509-536-2929
Mailing Address - Fax:509-533-6100
Practice Address - Street 1:2999 S WATERFORD DR
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-4410
Practice Address - Country:US
Practice Address - Phone:509-536-2929
Practice Address - Fax:509-533-6100
Is Sole Proprietor?:No
Enumeration Date:2022-08-12
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61308730363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily