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Individual

TIFFANY A SANDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
2621 W HORIZON RIDGE PKWY, SUITE 100, HENDERSON, NV 89052-2895
(702) 263-1908
(702) 263-0195
Mailing address
2621 W HORIZON RIDGE PKWY, SUITE 100, HENDERSON, NV 89052-2895
(702) 263-1908
(702) 263-0195

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
001271
NV

Other

Enumeration date
05/12/2011
Last updated
05/13/2011
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