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Individual
TIFFANY FARE
Active
Individual
TIFFANY FARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R226350
MD
390200000X
Student in an Organized Health Care Education/Training Program
Primary
R226350
MD
Other
Enumeration date
02/05/2025
Last updated
02/01/2026
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