Kelsey Dawn Tiffany
Licensed Vocational Nurse in Santa Monica, CA. Individual provider (NPI-1).
NPI number1699298679
StatusActive
Last updated in NPPESAug 23, 2018
Details
- NPI
- 1699298679
- Entity type
- Individual (NPI-1)
- Name
- Kelsey Dawn Tiffany
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 20, 2017
- Last updated
- Aug 23, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | VN697274 | CA | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | R1253020617 | CA |
Practice location
909 Pico BlvdSanta Monica, CA 90405
Phone 310-314-6200 · Fax 310-450-2024
Mailing address
909 Pico BlvdSanta Monica, CA 90405-1326
Phone 310-314-6200
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All 64 Licensed Vocational Nurse providers in Santa Monica · All 6,518 providers in Santa Monica
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