TIFFANY DIANNE DINEEN

CONWAY, SC
NPI1972245256
Former NameTIFFANY DIANNE FOGLE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: SC  25803)
Enumeration Date2022-04-08
Last Update Date2024-08-29
Business Address
Ms. TIFFANY DIANNE DINEEN AGNP-C
251 UNIVERSITY BLVD STE B
CONWAY, SC 29526-8834
Phone number: 843-347-1012
Mailing Address
Ms. TIFFANY DIANNE DINEEN AGNP-C
300 SINGLETON RIDGE RD ATTN PNS CREDENTIALING
CONWAY, SC 29526-9142
Phone number: 843-234-6946
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