Individual
TIFFANIE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3202 108TH STREET, LUBBOCK COOPER, LUBBOCK, TX 79423
(806) 776-2100
Mailing address
3202 108TH STREET, LUBBOCK COOPER, LUBBOCK, TX 79423
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
892281
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
10/01/2021
Last updated
10/01/2021
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