Individual
TIFFANY CRYSTAL PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN CRNP
Contact information
Practice address
15 DENNY CIR, NEWARK, DE 19702-5925
(215) 240-0445
Mailing address
69 E CLAPIER ST, PHILADELPHIA, PA 19144-5932
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN279988
PA
363LP2300X
Primary Care Nurse Practitioner
Primary
AG03250008
DE
Other
Enumeration date
10/23/2009
Last updated
03/09/2025
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