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Individual
TIFFANY MARIE TICER
Active
Individual
TIFFANY MARIE TICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP127905
TX
363LF0000X
Family Nurse Practitioner
AP127905
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360919008
—
TX
Enumeration date
04/22/2015
Last updated
03/27/2025
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