TIFFANY RENE DIAZ

FORT SMITH, AR
NPI1962094565
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AR  214718)
Enumeration Date2021-02-05
Last Update Date2021-02-05
Business Address
TIFFANY RENE DIAZ APRN-CNP
7217 CAMERON PARK DR
FORT SMITH, AR 72903-6167
Phone number: 479-831-6007
Mailing Address
TIFFANY RENE DIAZ APRN-CNP
3500 S 70TH ST
FORT SMITH, AR 72903-5197
Phone number: