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Individual
TIFFANY TEIXEIRA
Active
Individual
TIFFANY TEIXEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
112428
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
9042
CT
363LG0600X
Gerontology Nurse Practitioner
9042
CT
Other
Enumeration date
03/24/2020
Last updated
09/15/2020
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