Individual
TIFFANY N CAVALIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8907 REDWOOD LAKE BLVD, ZACHARY, LA 70791-8341
(225) 620-3390
Mailing address
8907 REDWOOD LAKE BLVD, ZACHARY, LA 70791-8341
(225) 620-3390
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F06231776
LA
363L00000X
Nurse Practitioner
F06231776
LA
Other
Enumeration date
07/28/2023
Last updated
08/07/2023
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