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Individual
TIFFANY A WOELTZ
Active
Individual
TIFFANY A WOELTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3005990
KY
363LF0000X
Family Nurse Practitioner
Primary
3005990
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000789578
BLUE CROSS
KY
Enumeration date
05/28/2009
Last updated
10/19/2015
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