Individual
MRS. TIFFANY AUTUMN RIVENBURGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5 COURT ST, SUITE 42, NORWICH, NY 13815-1697
(607) 337-1600
(607) 334-4519
Mailing address
5 COURT ST, SUITE 42, NORWICH, NY 13815-1697
(607) 337-1600
(607) 334-4519
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
337325
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401881
NY
Other
Enumeration date
06/13/2012
Last updated
10/18/2024
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