Provider Demographics
NPI:1689489957
Name:MCHONE, TIFFANY RAE
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:RAE
Last Name:MCHONE
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 1:283 CHESTNUT AVE E
Mailing Address - Street 2:
Mailing Address - City:ALDERSON
Mailing Address - State:WV
Mailing Address - Zip Code:24910-9460
Mailing Address - Country:US
Mailing Address - Phone:304-667-5540
Mailing Address - Fax:
Practice Address - Street 1:283 CHESTNUT AVE E
Practice Address - Street 2:
Practice Address - City:ALDERSON
Practice Address - State:WV
Practice Address - Zip Code:24910-9460
Practice Address - Country:US
Practice Address - Phone:304-667-5540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant