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Individual
TIFFANY CRAGAN
Active
Individual
TIFFANY CRAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP017189
PA
363LP2300X
Primary Care Nurse Practitioner
SP017189
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035277580002
—
PA
Enumeration date
04/06/2017
Last updated
01/23/2023
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