Active NPIIndividual providerSole proprietor

Tiffini Young-Kershaw, CRNA

Nurse Anesthetist, Certified Registered in Providence, Rhode Island

NPI Number1245641679
Practice location
593 Eddy St, Davol 129, Providence, RI 02903-4923
Fax
401-444-5090
Last updated
May 20, 2014

Tiffini Young-Kershaw is a Nurse Anesthetist, Certified Registered based in Providence, RI. Tiffini Young-Kershaw practices in Providence, RI and has the professional credentials of CRNA. The NPI Number for Tiffini Young-Kershaw is 1245641679 and holds a License No. RN49969 (RI). The current practice location address for Tiffini Young-Kershaw is 593 Eddy St, Davol 129, Providence, RI 02903-4923 and can be reached out via phone at 401-444-4933 and via fax at 401-444-5090.

Provider Profile Details

NPI Number
1245641679
Provider Name
Tiffini Young-Kershaw
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
593 Eddy St, Davol 129, Providence, RI 02903-4923
Phone Number
401-444-4933
Fax Number
401-444-5090
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
Yes
Provider Enumeration Date
May 20, 2014
Last Update Date
May 20, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
593 Eddy St
Davol 129
Providence, RI 02903-4923
Zip
02903-4923
Phone Number
401-444-4933
Fax Number
401-444-5090
Providence, RI 02903Get directions →

Provider Business Mailing Address Details

Address
690 Canton Street
Suite 325
Westwood, MA 02090-2329
City
Westwood
State
MA
Zip
02090-2329
Phone Number
781-407-7713
Fax Number
781-407-0998

License Information

License Number (1)
RN49969
License State (1)
RI
Taxonomy (1)
Nurse Anesthetist, Certified Registered · 367500000X · Primary
License Number (2)
RN213090
License State (2)
MA
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tiffini Young-Kershaw, CRNA?

The NPI number of Tiffini Young-Kershaw, CRNA is 1245641679. It was assigned on May 20, 2014 and is currently active in the NPPES registry.

What is the specialty of Tiffini Young-Kershaw, CRNA?

Tiffini Young-Kershaw, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in RI under license number RN49969.

Where does Tiffini Young-Kershaw, CRNA practice?

The practice location is 593 Eddy St, Davol 129, Providence, RI 02903-4923. The office can be reached at 401-444-4933 (phone) or 401-444-5090 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245641679 directly on the NPPES registry website.

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