Individual
TIFFANY DE LA PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1225 3RD AVE SE, CEDAR RAPIDS, IA 52403-4009
(319) 730-7300
Mailing address
733 DEER VIEW AVE, TIFFIN, IA 52340-4730
(480) 980-6692
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
C186309
IA
Other
Enumeration date
08/20/2025
Last updated
10/28/2025
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