Individual
TIFFANY MOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
870 N MILWAUKEE AVE, VERNON HILLS, IL 60061-1521
(847) 475-2273
(847) 535-7761
Mailing address
870 N MILWAUKEE AVE, VERNON HILLS, IL 60061-1521
(847) 475-2273
(847) 535-7761
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209009313
IL
363LF0000X
Family Nurse Practitioner
2011014127
IL
Other
Enumeration date
12/21/2011
Last updated
05/02/2023
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