Individual
TIFFANY LYNN LAUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1860 SHAWANO AVE, GREEN BAY, WI 54303-2667
(209) 496-4700
Mailing address
2609 COUNTRY MEADOW CT, SUAMICO, WI 54313-8163
(920) 606-2697
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4652-033
WI
363LF0000X
Family Nurse Practitioner
Primary
4652-33
WI
Other
Enumeration date
10/18/2011
Last updated
09/16/2024
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