Individual
TIFFANY ALISON MUKERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
575 N RIVER ST, WILKES BARRE, PA 18702-2634
(570) 829-8111
Mailing address
330 E THOMAS ST, WILKES BARRE, PA 18705-3806
(570) 991-2667
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN683726
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
135860
PA
Other
Enumeration date
04/29/2022
Last updated
06/08/2022
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