Provider Demographics
NPI:1316763550
Name:GILROY, TIANNA
Entity type:Individual
Prefix:
First Name:TIANNA
Middle Name:
Last Name:GILROY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6570 AUSTIN ST APT 602
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-4681
Mailing Address - Country:US
Mailing Address - Phone:801-884-2077
Mailing Address - Fax:
Practice Address - Street 1:6570 AUSTIN ST APT 602
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-4681
Practice Address - Country:US
Practice Address - Phone:801-884-2077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula