Individual
MS. TIFFANY WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1100 W TOWN AND COUNTRY RD STE 1600, ORANGE, CA 92868-4698
(833) 402-5803
Mailing address
7421 MARGOLLINI ST, LAS VEGAS, NV 89148-2670
(702) 767-9346
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN002775
NV
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN002775
NV
363LG0600X
Gerontology Nurse Practitioner
APRN002775
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730683319
—
NV
Enumeration date
03/20/2018
Last updated
07/08/2025
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