Individual
TIFFANY DENNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 609-2000
Mailing address
500 WESTOVER DR # 14937, SANFORD, NC 27330-8941
(904) 982-1851
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN9408616
FL
367500000X
Certified Registered Nurse Anesthetist
1073553
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
69365
NM
Other
Enumeration date
02/17/2022
Last updated
04/30/2026
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