Individual
TIFFANY MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7000
Mailing address
611 BAINBRIDGE ST APT 131, RICHMOND, VA 23224-2376
(804) 647-0516
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024177843
VA
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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