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Individual

TIFFANY ANN CRIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
1540 VINE ST APT 440, HOLLYWOOD, CA 90028-4028
(310) 779-6242
Mailing address
1540 VINE ST APT 440, HOLLYWOOD, CA 90028-4028
(310) 779-6242

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
630871
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
630871
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
630871
CALIFORNIA BOARD OF NURSING
CA
Enumeration date
02/14/2023
Last updated
07/13/2025
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