Individual
TIFFANY COPPAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2911 N 27TH ST, OMAHA, NE 68111-3369
(402) 612-2044
Mailing address
2911 N 27TH ST, OMAHA, NE 68111-3369
(402) 612-2044
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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