NPI 1447681275

Tifani Veronica Ennis

Practitioner Contractor York, PA

Practice location

Address: 50 Wyntre Brooke Dr, York, PA 17403-4535
Phone: (717) 812-5626
Fax: (717) 741-0879
Mailing address: 208 S Front St, Wrightsville, PA 17368-1613

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence MSG005993 (PA)

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Registry record

NPI: 1447681275
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Dec 2013
Record last updated: 4 Dec 2013

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.