Individual
TIFFANY FRIEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
323 N MARYLAND PKWY, LAS VEGAS, NV 89101-3130
(702) 385-3330
Mailing address
323 N MARYLAND PKWY, LAS VEGAS, NV 89101-3130
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
80809
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80809
RN
NV
Enumeration date
10/05/2017
Last updated
10/05/2017
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