Individual
TIFFANY MARIE VASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN-NP,WHNP-BC
Contact information
Practice address
8560 FOXTAIL DR, LINCOLN, NE 68526-6140
(402) 267-9146
Mailing address
8560 FOXTAIL DR STE 201, LINCOLN, NE 68526-6140
(402) 267-9146
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
112287
NE
363LW0102X
Women's Health Nurse Practitioner
112287
NE
Other
Enumeration date
07/26/2017
Last updated
05/02/2022
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