Individual
TIFFANY BROOKE HOVERMALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2000 FOUNDATION WAY, MARTINSBURG, WV 25401-9003
(304) 262-8800
Mailing address
2000 FOUNDATION WAY, MARTINSBURG, WV 25401-9003
(304) 262-8800
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
104548
WV
363LF0000X
Family Nurse Practitioner
Primary
104548
WV
Other
Enumeration date
01/23/2026
Last updated
03/04/2026
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