Provider Demographics
NPI:1851116602
Name:SCHMITT, TIFFANY ANN (RN)
Entity type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:ANN
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:ANN
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:910639 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:OK
Mailing Address - Zip Code:74834-6652
Mailing Address - Country:US
Mailing Address - Phone:405-760-6712
Mailing Address - Fax:
Practice Address - Street 1:204 S CARNEY
Practice Address - Street 2:
Practice Address - City:CARNEY
Practice Address - State:OK
Practice Address - Zip Code:74832-9625
Practice Address - Country:US
Practice Address - Phone:405-865-2344
Practice Address - Fax:405-865-2345
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0082941163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics