Provider Demographics
NPI:1790043990
Name:GUIRAND, TIFFANY SEMIE (CRNP)
Entity type:Individual
Prefix:MS
First Name:TIFFANY
Middle Name:SEMIE
Last Name:GUIRAND
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 1:700 SMITH ST #61070
Mailing Address - Street 2:SMB#67002
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002
Mailing Address - Country:US
Mailing Address - Phone:570-534-0577
Mailing Address - Fax:
Practice Address - Street 1:2138 W UNION BLVD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-2011
Practice Address - Country:US
Practice Address - Phone:570-534-0577
Practice Address - Fax:484-282-9607
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-25
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP029379363LP0808X
NY6323271163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered Nurse