Individual provider · Type 1 NPI
Tiffany Brooke Boardwine
Driver · Bristol, VA
NPI number
1972979565
Active
Practice location
13039 King Mill Pike
Bristol, VA 24202-4405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | T66522665 (VA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Bristol
About NPI 1972979565
Tiffany Brooke Boardwine's National Provider Identifier is 1972979565, issued on Aug 18, 2015. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Bristol, VA. The record was last updated on Aug 18, 2015.