Individual
MRS. TIFFANY REICHBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6804 CECELIA DR, NEW PORT RICHEY, FL 34653-4935
(727) 232-0644
(888) 546-0488
Mailing address
3513 LANDS END WAY, LUTZ, FL 33548-4574
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 9242290
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ATN605140
—
FL
Enumeration date
05/10/2012
Last updated
03/27/2023
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