Individual
TIFFINI MARIE LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
8300 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87110-7613
(505) 291-2700
Mailing address
2 BROKERAGE ST, EDGEWOOD, NM 87015-6722
(505) 239-3109
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
76648
NM
Other
Enumeration date
11/07/2023
Last updated
03/12/2024
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