Individual
TIFFANY ANN DESCHAMPS
Active
Individual
TIFFANY ANN DESCHAMPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
230508
CT
363L00000X
Nurse Practitioner
14633
CT
363LF0000X
Family Nurse Practitioner
Primary
14633
CT
Other
Enumeration date
03/27/2025
Last updated
04/23/2025
Update your record
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