NPI | 1124625504 |
---|---|
Professional Name | TIFFANY ANNE SWANSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013731) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 258468) |
Enumeration Date | 2020-10-08 |
Last Update Date | 2024-02-23 |