Individual
TIFFANY ANN DESCHAMPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC
Contact information
Practice address
451 STATE ST STE A, NORTH HAVEN, CT 06473-3070
(203) 672-2800
(914) 393-7519
Mailing address
549 NEW BRITAIN AVE, NEWINGTON, CT 06111-4361
(860) 630-0866
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
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