Individual
TIFFANY R MALANAPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
901 MONTGOMERY ST, DECORAH, IA 52101-2325
(563) 382-2911
(952) 442-3620
Mailing address
400 10TH ST E, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
228022
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
D125341
IA
Other
Enumeration date
06/12/2018
Last updated
02/17/2021
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