Individual
TIFFANY N MAAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
818 N EMPORIA ST STE 310, WICHITA, KS 67214-3727
(316) 263-5891
(316) 263-3083
Mailing address
818 N EMPORIA ST STE 310, WICHITA, KS 67214-3727
(316) 263-5891
(316) 263-3083
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
53-76249
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110848015
BLUE CROSS AND BLUE SHIELD
KS
Enumeration date
01/17/2014
Last updated
07/21/2022
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