Individual
TIFFANI BROOKE WENCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
92 CAMPUS DR STE A, SCARBOROUGH, ME 04074-7229
(207) 885-0011
(207) 885-5851
Mailing address
92 CAMPUS DR STE A, SCARBOROUGH, ME 04074-7229
(207) 885-0011
(207) 885-5851
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71014426A
IN
363LF0000X
Family Nurse Practitioner
Primary
CNP251928
ME
Other
Enumeration date
10/05/2023
Last updated
02/05/2026
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