Individual
TIFFANY HUYNH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1611 CAMBRIDGE ST, CAMBRIDGE, MA 02138-4302
(617) 661-5500
Mailing address
1611 CAMBRIDGE ST, CAMBRIDGE, MA 02138-4302
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2320717
MA
363L00000X
Nurse Practitioner
RN2320717
MA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN2320717
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/11/2019
Last updated
02/09/2022
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