| Tiffany Leigh Vancil, CRNA | |
|
470 Ne A St, Madras, OR 97741-1844 | |
| (541) 475-3882 | |
| Not Available |
| Full Name | Tiffany Leigh Vancil |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 470 Ne A St, Madras, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184960767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP60327805 (Washington) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 201392745CRNA (Oregon) | Primary |
| Entity Name | Chelan County Public Hospital District No 2 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578568853 PECOS PAC ID: 9133027360 Enrollment ID: O20031226000201 |
| Entity Name | Okanogan County Public Hospital District No. 3 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255387403 PECOS PAC ID: 6800707951 Enrollment ID: O20040128000027 |
| Entity Name | Inland Northwest Surgery Center Pllc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1467637116 PECOS PAC ID: 0648169094 Enrollment ID: O20040312001108 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Leigh Vancil, CRNA Po Box 3330, Salt Lake City, UT 84110-3330 Ph: (888) 333-1095 | Tiffany Leigh Vancil, CRNA 470 Ne A St, Madras, OR 97741-1844 Ph: (541) 475-3882 |
Claudia J Barnes, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 470 Ne A St, Madras, OR 97741 Phone: 541-475-3882 |