| NPI | 1821710880 |
|---|---|
| Former Name | TIFFANY MARIE STOOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11014976) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11014976) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11014976) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11014976) | |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2022-09-22 |