Individual
MRS. TIFFANY LYNN HEERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
215 S LOUISIANA AVE, MARTINSBURG, WV 25401-2023
(681) 260-2259
Mailing address
215 S LOUISIANA AVE, MARTINSBURG, WV 25401-2023
(681) 260-2259
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
AC004537
MD
363L00000X
Nurse Practitioner
Primary
106787
WV
Other
Enumeration date
07/08/2022
Last updated
09/05/2024
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