Individual
MRS. TIFFANY APPLEWHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
13608 SAGEMONT CT, EASTVALE, CA 92880-5506
(562) 275-2803
Mailing address
13608 SAGEMONT CT, EASTVALE, CA 92880-5506
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
23766
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
23766
CA
Other
Enumeration date
04/03/2017
Last updated
04/25/2017
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