| NPI | 1851076889 |
|---|---|
| Former Name | TIFFANY A FRAZIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse General Practice (Licence: MA RN279387) |
| Additional Taxonomies | 163WD0400X Registered Nurse Diabetes Educator (Licence: MA RN279387) |
| 163WE0003X Registered Nurse Emergency (Licence: MA RN279387) | |
| 163WH0200X Registered Nurse Home Health (Licence: MA RN279387) | |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: MA RN279387) | |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-06-19 |