Individual provider · Type 1 NPI

Tiffany Antoinette Netherby

Student in an Organized Health Care Education/Training Program · Grass Valley, CA

NPI number 1912884909 Active

Practice location

11761 Ridge Rd
Grass Valley, CA 95945-5025

Call (530) 273-4431 Map

Mailing address

12666 Rough And Ready Hwy
Grass Valley, CA 95945-8520

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1912884909

Tiffany Antoinette Netherby's National Provider Identifier is 1912884909, issued on Aug 20, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Grass Valley, CA. The record was last updated on Jan 7, 2026.