Individual
TIFFANEE RAE CRAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
13894 S BANGERTER PKWY STE 200, DRAPER, UT 84020-5320
(385) 454-5027
(801) 742-8381
Mailing address
716 W SUNNY LEDGE DR, WASHINGTON, UT 84780-3576
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11122057-4405
UT
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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