Individual
TIFFANIE SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
3393 G ST STE C, MERCED, CA 95340-1001
(209) 580-4172
(209) 233-9859
Mailing address
PO BOX 3768, MERCED, CA 95344-3768
(209) 725-7149
(209) 726-0134
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
824662
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
95007007
CA
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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