Provider Demographics
NPI:1760120240
Name:BELLFIELD, TIFFANY (MA)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:BELLFIELD
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:263 CHARLIE NORRIS RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-9299
Mailing Address - Country:US
Mailing Address - Phone:859-684-9138
Mailing Address - Fax:
Practice Address - Street 1:263 CHARLIE NORRIS RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-9299
Practice Address - Country:US
Practice Address - Phone:859-684-9138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula