| NPI | 1861872004 |
|---|---|
| Former Name | TYFFANY J BEDFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704279522) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704279522) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2026-03-25 |