Individual
MARIE TEMFE THERESIA TANIFORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3608 WYCLIFF AVE, MCKINNEY, TX 75071-1646
(310) 294-7781
Mailing address
3608 WYCLIFF AVE, MCKINNEY, TX 75071-1646
(310) 294-7781
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
945551
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1155654
TX
Other
Enumeration date
09/05/2018
Last updated
03/22/2024
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