Provider Demographics
NPI:1790043990
Name:GUIRAND, TIFFANY SEMIE (RN, BSN)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:SEMIE
Last Name:GUIRAND
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 GARFIELD ST
Mailing Address - Street 2:APT. 1A
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-7243
Mailing Address - Country:US
Mailing Address - Phone:516-902-2480
Mailing Address - Fax:
Practice Address - Street 1:2 GARFIELD ST
Practice Address - Street 2:APT. 1A
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-7243
Practice Address - Country:US
Practice Address - Phone:516-902-2480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-25
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6323271163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse