Individual
TIFFANY ANNE FOTINOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4550 E. BELL ROAD, SUITE 170, PHOENIX, AZ 85032
(480) 443-8400
(480) 443-8697
Mailing address
4550 E. BELL ROAD, SUITE 170, PHOENIX, AZ 85032
(480) 443-8400
(480) 443-8697
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP2481
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP2481
LICENSE
AZ
Enumeration date
11/16/2006
Last updated
02/05/2013
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