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Individual
TIFFANY MICHELLE PERRAUT
Active
Individual
TIFFANY MICHELLE PERRAUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
2014042988
MO
363LN0000X
Neonatal Nurse Practitioner
71009035A
IN
363LN0000X
Neonatal Nurse Practitioner
Primary
AP61309304
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306358171
—
WA
Enumeration date
11/01/2017
Last updated
11/12/2024
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