National Provider Identifier

Tiffany Marie Walton, LPN

Tiffany Marie Walton, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 936-1873.

NPI 1811313877Buffalo, NYLicensed Practical Nurse

Profile Overview

NPI
1811313877
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 13, 2014
Last Updated
June 06, 2015

Practice Location

  • 149 Virgil Ave
  • Buffalo, NY 14216-1805

Phone: (716) 936-1873

Specialties

  • Licensed Practical Nurse (164W00000X)
  • Case Management Registered Nurse (163WC0400X)
  • Pediatric Registered Nurse (163WP0200X)
Full Record
NPI
1811313877
Entity Type
Individual
Last Name
Walton
First Name
Tiffany
Middle Name
Marie
Name Prefix
MS.
Credential
LPN
Provider Other Last Name
Walton
Provider Other First Name
Tiffany
Provider Other Middle Name
Marie
Provider Other Credential Text
RN
Provider Other Last Name Type Code
2
Mailing Street Address
149 Virgil Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14216-1805
Mailing Country
US
Mailing Phone
(716) 936-1873
Practice Street Address
149 Virgil Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14216-1805
Practice Country
US
Practice Phone
(716) 936-1873
Enumeration Date
March 13, 2014
Last Updated
June 06, 2015
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X), Case Management Registered Nurse (163WC0400X), Pediatric Registered Nurse (163WP0200X)
Other Identifiers
03810262 (NY)