Individual
TIFU TANWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 SNOWMASS TER, GLEN ALLEN, VA 23060-6710
(804) 882-6978
Mailing address
5000 SNOWMASS TER, GLEN ALLEN, VA 23060-6710
(804) 882-6978
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001249873
VA
163WM0705X
Medical-Surgical Registered Nurse
Primary
0001249873
VA
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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