Tiffany Boardwine
NPI 1972979565 · on the registry since 2015 · sole proprietor
Practice
- Address
- 13039 King Mill Pike
Bristol, VA 24202 - Phone
- (276) 202-4032
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-08-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia