Provider Demographics
NPI:1205622503
Name:ZUBER, TIFFANY MAE (RN)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:MAE
Last Name:ZUBER
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 BISHOP RD
Mailing Address - Street 2:
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532-8711
Mailing Address - Country:US
Mailing Address - Phone:360-807-7215
Mailing Address - Fax:360-748-6167
Practice Address - Street 1:1220 BISHOP RD
Practice Address - Street 2:
Practice Address - City:CHEHALIS
Practice Address - State:WA
Practice Address - Zip Code:98532-8711
Practice Address - Country:US
Practice Address - Phone:360-807-7215
Practice Address - Fax:360-748-6167
Is Sole Proprietor?:No
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN61313066163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool