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Individual
TIFFANY WALSH
Active
Individual
TIFFANY WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
209.019376
IL
363LG0600X
Gerontology Nurse Practitioner
209.019376
IL
363LP2300X
Primary Care Nurse Practitioner
Primary
209.019376
IL
Other
Enumeration date
02/16/2020
Last updated
02/16/2020
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