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Individual

TIFFANY SUBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
3803 N ELM ST, GREENSBORO, NC 27455-2593
(617) 416-0747
Mailing address
14104 BRAMBOROUGH RD, HUNTERSVILLE, NC 28078-3723
(704) 280-3219

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2018073445
NC

Other

Enumeration date
12/16/2018
Last updated
12/16/2018
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