Provider Demographics
NPI:1518634765
Name:CURTIS, TIFFANY MICHELLE (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:MICHELLE
Last Name:CURTIS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 LAKE LN
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37398-4562
Mailing Address - Country:US
Mailing Address - Phone:931-235-9937
Mailing Address - Fax:
Practice Address - Street 1:130 LAKE LN
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37398-4562
Practice Address - Country:US
Practice Address - Phone:931-235-9937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-25
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000171037163W00000X
TN35669367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse