Individual
TIFFANY J KIRCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
11104 PARKVIEW CIRCLE DR STE 10, FORT WAYNE, IN 46845-1733
(260) 425-6800
(260) 425-6845
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
71006850A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255639001
—
WI
Enumeration date
03/03/2011
Last updated
11/27/2023
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