Provider Demographics
NPI:1952106700
Name:TANWI, TIFU
Entity type:Individual
Prefix:
First Name:TIFU
Middle Name:
Last Name:TANWI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 SNOWMASS TER
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-6710
Mailing Address - Country:US
Mailing Address - Phone:804-882-6978
Mailing Address - Fax:
Practice Address - Street 1:5000 SNOWMASS TER
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-6710
Practice Address - Country:US
Practice Address - Phone:804-882-6978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001249873163W00000X, 163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty