Individual
TIFFANY POWERS MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
11025 S 51ST ST APT 2058, PHOENIX, AZ 85044-1758
(480) 307-0096
Mailing address
11025 S 51ST ST APT 2058, PHOENIX, AZ 85044-1758
(480) 307-0096
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
249522
AZ
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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