Individual
TIFFANY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1699 SCHOFIELD AVE STE 300, SCHOFIELD, WI 54476-2332
(715) 847-6600
Mailing address
1699 SCHOFIELD AVE STE 300, SCHOFIELD, WI 54476-2332
(715) 847-6600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
166164-30
WI
363LF0000X
Family Nurse Practitioner
Primary
7012-33
WI
Other
Enumeration date
06/24/2016
Last updated
09/21/2016
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