| Doctor Name: | NICOLE LANGLOIS TIEFEL |
| NPI Number: | 1326438599 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 1256167 |
| Business Practice Address: | 1620 Old Williamsburg Rd Yorktown, VA - 236903910 |
| Business Phone Number: | 7578860608 |
| Business Fax Number: | |
| Mailing Address: | 1620 Old Williamsburg Rd, YORKTOWN |
| State: | VA |
| Postal Code: | 236903910 |
| Phone Number: | 7578860608 |
| Fax Number: | |
| NPI Enumeration Date: | 01/27/2015 |
| NPI Last Update Date: | 02/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 1256167 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |