Individual
TIFFANY KAE PROFSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
295 CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(801) 587-7416
Mailing address
295 CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(801) 587-7416
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4731862-4405
UT
Other
Enumeration date
07/15/2011
Last updated
12/10/2024
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