Individual
TIFFANY NICHOLE MATHENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
1201 PENN AVE, DES MOINES, IA 50316-2339
(515) 266-1000
(515) 266-1824
Mailing address
1201 PENN AVE, DES MOINES, IA 50316-2339
(515) 266-1000
(515) 266-1824
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A108272
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467791558
—
IA
Enumeration date
02/08/2013
Last updated
10/31/2013
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