Provider Demographics
NPI:1972985232
Name:MCEWAN, TIFFANY J (ARNP)
Entity type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:J
Last Name:MCEWAN
Suffix:
Gender:F
Credentials:ARNP
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Mailing Address - Street 1:2101 KIMBALL AVE
Mailing Address - Street 2:PO BOX 6200
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50702-5063
Mailing Address - Country:US
Mailing Address - Phone:319-272-1590
Mailing Address - Fax:319-272-1535
Practice Address - Street 1:2710 SAINT FRANCIS DR STE 210
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50702-5664
Practice Address - Country:US
Practice Address - Phone:319-272-5000
Practice Address - Fax:319-272-5282
Is Sole Proprietor?:No
Enumeration Date:2015-06-23
Last Update Date:2015-09-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IAA110141363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily