Individual
MS. TIFFANY SHANNON SANCHEZ MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CPNP
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1805
Mailing address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1805
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
649105-1
NY
225400000X
Rehabilitation Practitioner
101Y00000X
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
F382355-1
NY
Other
Enumeration date
11/17/2008
Last updated
07/11/2023
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