Individual
DANIELLE TIFFANY NEET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 INTERNATIONAL WAY STE 200, SPRINGFIELD, OR 97477-7006
(541) 844-0151
(541) 636-2722
Mailing address
2073 OLYMPIC ST, SPRINGFIELD, OR 97477-3413
(503) 753-5759
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
201230117LPN
OR
363LF0000X
Family Nurse Practitioner
Primary
10059197
OR
Other
Enumeration date
08/21/2018
Last updated
04/22/2026
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