Individual
TIFFANY SUBER
Active
Individual
TIFFANY SUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2018073445
NC
363LG0600X
Gerontology Nurse Practitioner
Primary
5011348
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132530
RN
NC
01
—
5011348
NP
NC
Enumeration date
12/16/2018
Last updated
07/21/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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