Individual
TIFFANY MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12901 JEFFERSON HWY, BATON ROUGE, LA 70816-6300
(706) 699-3024
Mailing address
500 W FORT ST, BOISE, ID 83702-4501
(208) 585-1892
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN144138
LA
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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