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Individual
TIFFANY BOSTON
Active
Individual
TIFFANY BOSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008148
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1160651
ANTHEM
KY
01
—
12583598
CAQH
—
05
—
7100258120
—
KY
Enumeration date
09/04/2013
Last updated
08/22/2024
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