| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TIFFANY CHANEL WILSON | 1073773313 | 2023-11-10 |
Tiffany Wilson [F] graduated in 2008 from Howard University College Of Medicine and primarily specializes in Obstetrics/gynecology.
Tiffany Chanel Wilson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1073773313. Registration indicates Tiffany Chanel Wilson is a provider of access to ob/gyn services with a specialization in Allopathic & Osteopathic Physicians, Obstetrics & Gynecology (Allopathic & Osteopathic Physicians, Obstetrics & Gynecology) (Obstetrics & Gynecology, ) (Specialist Network, ) (Obstetrics & Gynecology, Allopathic & Osteopathic Physicians) Access to OB/GYN (Allopathic & Osteopathic Physicians, Obstetrics & Gynecology) (Allopathic & Osteopathic Physicians, Obstetrics & Gynecology) (Obstetrics & Gynecology, ) (Specialist Network, ) (Obstetrics & Gynecology, Allopathic & Osteopathic Physicians) Access to OB/GYN (Allopathic & Osteopathic Physicians, Obstetrics & Gynecology) (Allopathic & Osteopathic Physicians, Obstetrics & Gynecology) (Obstetrics & Gynecology, ) (Specialist Network, ) (Obstetrics & Gynecology, Allopathic & Osteopathic Physicians)
| PECOS ID | 1153577143 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Mrs. Tiffany Chanel Wilson M.D. |
| Practice Office Address | 1400 FOREST GLEN RD SUITE 500 SILVER SPRING, MD US |
| Practice Office Telephone | 3016816772 |
| Practice Office Fax | 3016812773 |
| Mailing Address | 1400 FOREST GLEN RD SUITE 500 SILVER SPRING, MD 209101459 US |
| Business Telephone | 3016816772 |
| Business Fax | 3016812773 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 14300 Orchard Pkwy | Westminster, CO 800239206 | 3034262580 / 3034262590 |
| Code | Practice | License No State |
|---|---|---|
| 207V00000X | Access to OB/GYN Allopathic & Osteopathic Physicians Obstetrics & Gynecology Allopathic & Osteopathic Physicians Obstetrics & Gynecology Obstetrics & Gynecology Specialist Network Obstetrics & Gynecology Allopathic & Osteopathic Physicians | D76784
MD |
| 207V00000X | Access to OB/GYN Allopathic & Osteopathic Physicians Obstetrics & Gynecology Allopathic & Osteopathic Physicians Obstetrics & Gynecology Obstetrics & Gynecology Specialist Network Obstetrics & Gynecology Allopathic & Osteopathic Physicians | DR.0070670
CO |
| 207V00000X PRIMARY | Access to OB/GYN Allopathic & Osteopathic Physicians Obstetrics & Gynecology Allopathic & Osteopathic Physicians Obstetrics & Gynecology Obstetrics & Gynecology Specialist Network Obstetrics & Gynecology Allopathic & Osteopathic Physicians | MD040762
DC |