Provider Demographics
NPI:1255926069
Name:SAUNDERS, TIFFENY CAMILLE (CNA)
Entity type:Individual
Prefix:
First Name:TIFFENY
Middle Name:CAMILLE
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5012 COLUMBO ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1064
Mailing Address - Country:US
Mailing Address - Phone:412-287-7270
Mailing Address - Fax:
Practice Address - Street 1:5012 COLUMBO ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1064
Practice Address - Country:US
Practice Address - Phone:412-287-7270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-03
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA9997068376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide