Individual
TIFFANY ANN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 785-3897
(208) 785-9432
Mailing address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 745-4100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
60627
ID
Other
Enumeration date
02/02/2019
Last updated
05/09/2025
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