Individual
TIFFANY CROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, WHNP-BC
Contact information
Practice address
1439 S MINTER WAY, GRAIN VALLEY, MO 64029-9648
(816) 404-6785
(816) 404-6724
Mailing address
1439 S MINTER WAY, GRAIN VALLEY, MO 64029-9648
(816) 404-6785
(816) 404-6724
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2010018977
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420048038
—
MO
Enumeration date
08/19/2015
Last updated
12/09/2020
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