Individual
TIFFANY RHODA TULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
640 SOUTH STATE STREET, DOVER, DE 19901
(302) 674-4700
Mailing address
454 ASHLAND AVE, WYOMING, DE 19934-2459
(937) 673-5910
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
LG-0000620
DE
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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