Provider Demographics
NPI:1780489302
Name:HIRSCH, TIFFIIANI SUE
Entity type:Individual
Prefix:MS
First Name:TIFFIIANI
Middle Name:SUE
Last Name:HIRSCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350662 HIGHWAY 26
Mailing Address - Street 2:
Mailing Address - City:MINATARE
Mailing Address - State:NE
Mailing Address - Zip Code:69356-1748
Mailing Address - Country:US
Mailing Address - Phone:308-672-8412
Mailing Address - Fax:
Practice Address - Street 1:350662 HIGHWAY 26
Practice Address - Street 2:
Practice Address - City:MINATARE
Practice Address - State:NE
Practice Address - Zip Code:69356-1748
Practice Address - Country:US
Practice Address - Phone:308-672-8412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion