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Individual

TIFFANY MARIE NORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
1600 HOSPITAL PKWY, BEDFORD, TX 76022-6913
(817) 849-2708
(817) 848-4579
Mailing address
1600 HOSPITAL PKWY, BEDFORD, TX 76022-6913
(817) 849-2708
(817) 848-4579

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
617631
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
617631
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP109391
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8Y3082
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/17/2007
Last updated
05/09/2019
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