Individual
TIFFANY DIANE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9900 BREN ROAD EAST, MAIL ROUTE MN 008-B213, MINNETONKA, MN 55343
(520) 466-7883
Mailing address
205 N STUART BLVD, ELOY, AZ 85131-2507
(520) 466-7883
(520) 466-3946
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP9780
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236931
—
AZ
Enumeration date
01/12/2017
Last updated
07/16/2020
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