| Tiffany Amber Nickens-gaither, PA-C | |
|
101 West Coast Rd, #b, Redway, CA 95560 | |
| (707) 923-2783 | |
| Not Available |
| Full Name | Tiffany Amber Nickens-gaither |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 101 West Coast Rd, Redway, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386136778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 62762 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Amber Nickens-gaither, PA-C 8401 Connecticut Ave Ph Suite, Chevy Chase, MD 20815-5822 Ph: (301) 942-2212 | Tiffany Amber Nickens-gaither, PA-C 101 West Coast Rd, #b, Redway, CA 95560 Ph: (707) 923-2783 |
Morgan Danielle Hines, Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 West Coast Rd, B, Redway, CA 95560 Phone: 707-923-2783 | |
Jennifer A Fountain, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 West Coast Road #b, Redway, CA 95560 Phone: 707-923-2783 | |
Mrs. Mandi Lisette Battles, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 West Coast Road, Redway, CA 95560 Phone: 707-923-2783 Fax: 707-923-2543 |