Individual
TIFFANY A CASTAGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-6470
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 507-6470
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4923702-4405
UT
Other
Enumeration date
11/27/2011
Last updated
12/26/2014
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