Individual
MRS. TIFFANY LANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
102 E 11TH ST, LIBERAL, KS 67901-2784
(620) 624-2565
(620) 624-3016
Mailing address
709 E 4TH ST, HUGOTON, KS 67951-3203
(719) 859-4786
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
76027
KS
Other
Enumeration date
03/01/2012
Last updated
12/05/2024
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