Individual
TIFFANY MOSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
15821 HOLLYFERN CT, FORT MYERS, FL 33908-3732
(239) 432-5100
Mailing address
21586 BELVEDERE LN, ESTERO, FL 33928-7329
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
9386281
FL
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
9386281
FL
Other
Enumeration date
01/13/2017
Last updated
02/21/2017
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