Individual
TIFFANY MARIE ABERNATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2235 W APGAR CREEK DR, MERIDIAN, ID 83646-5983
(208) 995-4393
Mailing address
9850 W ST LUKES DR, NAMPA, ID 83687-7912
(208) 995-4393
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
N-46088
ID
Other
Enumeration date
05/09/2026
Last updated
05/09/2026
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