Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIFFANY ICKIEWICZ
ActiveTIFFANY ICKIEWICZ is a Physician Assistant healthcare provider located in MEADVILLE, Pennsylvania. NPI 1902101140 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MEADVILLE, PA
Registration Details
- NPI Number
- 1902101140
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 19, 2011 (15.556951736811 yrs)
- Last Updated
- Jul 6, 2021
- License
-
MA054038 (PA)
Practice Information
- Address
-
765 LIBERTY ST STE 310MEADVILLE, PA, 163352569Browse PA providers · Browse ZIP 16335
- Phone
- 8143337030
- Fax
- 8143733428
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MEADVILLE, PA
| Name | Credential | NPI |
|---|---|---|
| TOM CHATHAM | PA-C | 1659361780 |
| LISA M SANCHEZ | PA-C | 1891770541 |
| RENEE M RAY | PA | 1730151945 |
| MRS. BARBARA K ATTS-HOFFMAN | PAC | 1720056807 |
| JOHN MICHAEL STOLTZFUS | — | 1740247956 |
| MR. SAMUEL A GIBSON | PA-C | 1881628311 |
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.