NPI 1053028027

Tiffany Pender

Practitioner Community Health Worker Imperial, MO

Practice location

Address: 1117 Main St, Imperial, MO 63052-2323
Phone: (636) 464-1100

Registered specialties (2)

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X Licence 15203 (MO)

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Pharmacy Technician

Pharmacy Service Providers Taxonomy 183700000X

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Registry record

NPI: 1053028027
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Oct 2022
Record last updated: 31 Oct 2022

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.