Individual
TIFFANY BEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1378 NW 124TH ST STE 200, CLIVE, IA 50325-8151
(515) 226-8114
Mailing address
1378 NW 124TH ST STE 200, CLIVE, IA 50325-8151
(515) 226-8114
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
127711
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0171173
—
IA
Enumeration date
01/22/2018
Last updated
01/22/2018
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