Provider Demographics
NPI:1013257914
Name:FRENCH, TIFFANY DAWN (CRNP)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:DAWN
Last Name:FRENCH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 VIRGIN RUN RD
Mailing Address - Street 2:
Mailing Address - City:VANDERBILT
Mailing Address - State:PA
Mailing Address - Zip Code:15486-1135
Mailing Address - Country:US
Mailing Address - Phone:724-984-6999
Mailing Address - Fax:
Practice Address - Street 1:208 S ARCH ST
Practice Address - Street 2:
Practice Address - City:CONNELLSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15425-3536
Practice Address - Country:US
Practice Address - Phone:724-984-6999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-01
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP012377363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102839560001Medicaid
PA102839560001Medicaid