Doctor Name: | TIFFANI ROLLINS |
NPI Number: | 1013072099 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A.-C |
License Number: | 2549 |
Business Practice Address: | 5601 W Eugie Ave 106 Glendale, AZ - 853041255 |
Business Phone Number: | 6029786255 |
Business Fax Number: | 6025649286 |
Mailing Address: | 2008 W Calle Marita, PHOENIX |
State: | AZ |
Postal Code: | 850857076 |
Phone Number: | 4804739654 |
Fax Number: | |
NPI Enumeration Date: | 12/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 2549 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |