# TIFFANY NICOLE BERBER-STANISZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1730603937
- **Gender:** F
- **Credential:** FNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | 28162734A | IN | — |
| 363L00000X | Nurse Practitioner | 71007428A | IN | Yes |
| 363LF0000X | Family Nurse Practitioner | 71007428A | IN | — |

## Other

- **Enumeration date:** 07/28/2017
- **Last updated:** 12/13/2017