Individual
TIFFANY J INTANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-2200
(302) 733-1000
Mailing address
23 RHODES MOUNTAIN DR, NORTH EAST, MD 21901-3635
(210) 865-9503
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG-0001214
DE
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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