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Individual
TIFFANY BAE
Active
Individual
TIFFANY BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
95171890
CA
363L00000X
Nurse Practitioner
Primary
95020286
CA
Other
Enumeration date
04/23/2022
Last updated
02/12/2024
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