TIFFANI SANDRA BARTOLAC

EDGEWOOD, KY
NPI1427087857
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: KY  3012078)
Additional Taxonomies247200000X Technician, Other
363LF0000X Nurse Practitioner, Family
(Licence: OH  APRN CNP 019769)
Enumeration Date2006-06-30
Last Update Date2022-01-04
Business Address
Mrs. TIFFANI SANDRA BARTOLAC APRN
711 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017-3439
Phone number: 859-331-0774
Mailing Address
Mrs. TIFFANI SANDRA BARTOLAC APRN
PO BOX 635283
CINCINNATI, OH 45263-5283
Phone number: 859-426-0800