Individual
MISS TIFFANY ROPER SPICUZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-AC
Contact information
Practice address
3663 HIGHWAY 190 STE 100, MANDEVILLE, LA 70471-3497
(985) 272-1396
Mailing address
184 FAYEDAYE DR, MADISONVILLE, LA 70447-3171
(985) 502-9045
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
207500
LA
Other
Enumeration date
09/13/2019
Last updated
02/27/2025
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