NPI 1609021823

Tiffany Jean Tate, MED

Practitioner Respite Care Wilson, WY

Practice location

Address: 2245 Coyote Loop, Wilson, WY 83014-9668
Phone: (307) 690-6189

Registered specialties

Respite Care Primary

Respite Care Facility Taxonomy 385H00000X Licence 385H00000X (WY)

Other Respite Care providers in Wyoming →

Registry record

NPI: 1609021823
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Dec 2008
Record last updated: 2 Dec 2008

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.