| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TIFFANY HORNBECK | 1447878566 | 2024-08-11 |
Tiffany Hornbeck is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1447878566. Registration indicates Tiffany Hornbeck is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Tiffany Hornbeck |
| Practice Office Address | 1411 3RD ST STE C PORT HURON, MI US |
| Practice Office Telephone | 8004510481 |
| Practice Office Fax | 8109855543 |
| Mailing Address | 1411 3RD ST STE C PORT HURON, MI 480605480 US |
| Business Telephone | 8004510481 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 4571 Lintlong Rd | Petoskey, MI 497709522 | 9896190806 |
| 416 Connable Ave | Petoskey, MI 497702212 |
| Code | Practice | License No State |
|---|---|---|
| 363L00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | 4704253386
MI |