Individual
MS. TISH ANN HAIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1921 WALDEMERE ST STE 705, SARASOTA, FL 34239-2913
(941) 366-5864
(941) 365-4276
Mailing address
1921 WALDEMERE ST, STE. 705, SARASOTA, FL 34239-2943
(941) 366-5864
(941) 365-4276
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9165333
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002490000
—
FL
Enumeration date
06/24/2010
Last updated
01/21/2022
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