NPI 1003174343

Tiffany Lynn Battenfield, LMP

Practitioner Specialist Lake Stevens, WA

Practice location

Address: 1806 S Lake Stevens Rd Unit a, Lake Stevens, WA 98258-7959
Phone: (425) 319-2376
Mailing address: 12412 16th St NE, Lake Stevens, WA 98258-7707

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MA60258959 (WA)

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Registry record

NPI: 1003174343
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Apr 2012
Record last updated: 29 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.