Provider Demographics
NPI:1912756271
Name:FARLEY, TIFFANY N
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:N
Last Name:FARLEY
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 1:1559 MEREDITH DR UNIT 7
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-3245
Mailing Address - Country:US
Mailing Address - Phone:513-264-6895
Mailing Address - Fax:
Practice Address - Street 1:1559 MEREDITH DR UNIT 7
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-3245
Practice Address - Country:US
Practice Address - Phone:513-264-6895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker