Individual
TIFFANY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2500 ROCKY MOUNTAIN AVE # F1016J, LOVELAND, CO 80538-9004
(970) 624-1555
(970) 624-1594
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-4439
(970) 490-4156
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APN.0994121-NP
CO
364S00000X
Clinical Nurse Specialist
APN.0002664-CNS
CO
364SG0600X
Gerontology Clinical Nurse Specialist
APN.0002664-CNS
CO
Other
Enumeration date
01/10/2018
Last updated
05/26/2023
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