Individual
TIFFANY GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
985 PRINCE FREDERICK BLVD, SUITE 201, PRINCE FREDERICK, MD 20678-3492
(410) 535-2005
(410) 535-4850
Mailing address
985 PRINCE FREDERICK BLVD, SUITE 201, PRINCE FREDERICK, MD 20678-3492
(410) 535-2005
(410) 535-7850
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R134720
MD
Other
Enumeration date
07/25/2006
Last updated
07/21/2022
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