Tiffany Tedrick, MD
Psychiatry & Neurology, Psychiatry in Omaha, NE. Individual provider (NPI-1).
NPI number1194341925
StatusActive
Last updated in NPPESAug 27, 2024
Details
- NPI
- 1194341925
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Tedrick
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2020
- Certification date
- Aug 27, 2024
- Last updated
- Aug 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 77010 | MN | Yes |
Other names
- Tiffany Gorman (Former Name)
Practice location
4101 Woolworth AveOmaha, NE 68105-1850
Phone 800-451-5796
Mailing address
4101 Woolworth AveOmaha, NE 68105-1850
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