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Individual

MRS. TIFANY LYNE MAKUCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, WHNP-BC

Contact information

Practice address
1272 GARRISON DR, MURFREESBORO, TN 37129-2598
(615) 867-8030
Mailing address
1272 GARRISON DR, MURFREESBORO, TN 37129-2598
(615) 867-8030

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000178243
TN
363LW0102X
Women's Health Nurse Practitioner
Primary
104974423
TN
363LW0102X
Women's Health Nurse Practitioner
37207
TN

Other

Enumeration date
08/15/2024
Last updated
10/17/2024
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