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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS TIFFANI D. SHOWALTER, PA

Active

MISS TIFFANI D. SHOWALTER, PA is a Medical Physician Assistant healthcare provider located in FORT TOTTEN, North Dakota. NPI 1770804387 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · FORT TOTTEN, ND

Registration Details

NPI Number
1770804387
Provider Type
Individual
Gender
Female
NPI Issued
Jun 17, 2010 (16.149729465814 yrs)
Last Updated
Oct 18, 2013
Licenses
PA06531 (TX)
964 (AK)

Practice Information

Address
3883 74TH AVENUE NE
FORT TOTTEN, ND, 58335
Browse ND providers · Browse ZIP 58335
Phone
7017661600
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.