Individual
TIFFANY ANN TEEPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7195 ADVANCED WAY, LAS VEGAS, NV 89113-3691
(702) 740-5327
(702) 740-5328
Mailing address
PO BOX 50605, HENDERSON, NV 89016-0605
(702) 740-5327
(702) 740-5328
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0304
NV
Other
Enumeration date
01/28/2010
Last updated
01/03/2022
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