Individual provider · NPI-1

Tiffany Carrothers, RT(N)

In Home Supportive Care · Henderson, NV

NPI number1184023798
StatusActive
Last updated in NPPESApr 21, 2017

Details

NPI
1184023798
Entity type
Individual (NPI-1)
Name
Tiffany Carrothers
Credential
RT(N)
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 19, 2014
Last updated
Apr 21, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes
372600000X Adult Companion––
374U00000X Home Health Aide––

Practice location

3000 Bicentennial Pkwy
Henderson, NV 89044-0519

Phone 773-419-0068

Mailing address

3000 Bicentennial Pkwy
Henderson, NV 89044-0519

Phone 773-419-0068

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