Individual
MS. TIFFINY ERIN NEWPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2250 SOQUEL AVE, SANTA CRUZ, CA 95062-1402
(831) 600-2801
Mailing address
20 3RD AVE, DAVENPORT, CA 95017-9739
(831) 334-4276
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
755708
CA
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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