Tifani D Fivecoat
Nurse Practitioner - Pediatrics
601 5th St S Ste 306
St Petersburg
, Florida 33701-4804
Tifani D Fivecoat
Nurse Practitioner - Pediatrics
601 5th St S Ste 306
St Petersburg
, Florida 33701-4804
(727) 767-4346
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Tifani D Fivecoat
- 601 5th St S Ste 306
- St Petersburg, FL
- Zip : 33701-4804
- Fax : (727) 767-4346
- Phone : (727) 767-4170
Second Address
- Tifani D Fivecoat
- 601 5th St S Ste 306
- St Petersburg, FL
- Zip : 33701-4804
- Fax : (727) 767-4346
- Phone : (727) 767-4170
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Is Tifani D Fivecoat a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | ARNP9267083 | FL |
National Provider Identifier
| NPI | 1033690557 |
|---|---|
| Provider Name | Tifani D Fivecoat |
| First Address | St Petersburg, FL 33701-4804 |
| Second Address | St Petersburg, FL 33701-4804 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/08/2018 |
| Last Update Date | 23/08/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| PENDING | (05) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.