Individual
TIFFANY NANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5400 EUPER LN, FORT SMITH, AR 72903-3232
(479) 755-6601
Mailing address
5400 EUPER LN, FORT SMITH, AR 72903-3232
(479) 755-6601
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R100756
AR
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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