Provider Demographics
NPI:1720313190
Name:GILTNER, TIFFANY LYNN (CRNP)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:LYNN
Last Name:GILTNER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:134 POTTSTOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:CHESTER SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:19425-9516
Mailing Address - Country:US
Mailing Address - Phone:610-458-8881
Mailing Address - Fax:610-458-7184
Practice Address - Street 1:4667 W CHESTER PIKE
Practice Address - Street 2:
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-2227
Practice Address - Country:US
Practice Address - Phone:610-356-7870
Practice Address - Fax:610-594-2625
Is Sole Proprietor?:No
Enumeration Date:2009-10-02
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP10176363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily