Most Relevant Information
Provider Data
| NPI Number: | 1003262981 |
| Provider Name: | TIFFANY OGUNYEMI CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | R094961 |
Most Important Dates
| Enumeration Date: | 05/10/2016 |
| Last Updated: | 07/23/2020 |
Provider Practice Location
959 QUAIL LAKE CIR
APT 202
COLORADO SPRINGS
CO
809064605
Practice Location Phone/Fax
| Phone: | 9312158314 |
| Fax: |
Provider Mailing Location
410 PIPING ROCK DR
SILVER SPRING
MD
209055652
Provider Mailing Phone/Fax
| Phone: | 9312158314 |
| Fax: |