Individual
MRS. TIFFANY MICHELLE LUONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, RN
Contact information
Practice address
36 WHITE ST, CAMBRIDGE, MA 02140-1449
(617) 876-5519
Mailing address
36 WHITE STREET, CAMBRIDGE, MA 02140-1449
(617) 876-5519
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2289065
MA
163W00000X
Registered Nurse
RN500339213
DC
163WG0000X
General Practice Registered Nurse
116074-21
NH
363L00000X
Nurse Practitioner
11043606
FL
363L00000X
Nurse Practitioner
4053510
KY
363L00000X
Nurse Practitioner
LG-0013587
DE
363LF0000X
Family Nurse Practitioner
0040823
OH
363LF0000X
Family Nurse Practitioner
116074-21
NH
363LF0000X
Family Nurse Practitioner
CNP251816
ME
363LF0000X
Family Nurse Practitioner
NP500339213
DC
363LF0000X
Family Nurse Practitioner
Primary
RN2289065
MA
Other
Enumeration date
04/07/2019
Last updated
03/11/2026
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