Individual provider · Type 1 NPI

Tifany Brevaldo, LPN

Licensed Practical Nurse · Kent, WA

NPI number 1740069830 Active

Practice location

4014 S 270th St
Kent, WA 98032-7139

Mailing address

1812 S L St
Tacoma, WA 98405-3962

Other practice locations

  • 33330 8th Ave S, Federal Way, WA 98003-6325 · (904) 814-3499

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X5252259 (FL)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

7 other providers at this address

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About NPI 1740069830

Tifany Brevaldo, LPN's National Provider Identifier is 1740069830, issued on Sep 27, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Kent, WA. The record was last updated on Sep 27, 2023.