Individual
TIFFANNY ROBERTA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
30 LOCUST ST, NORTHAMPTON, MA 01060-2093
(413) 582-2000
Mailing address
40 KEYES ST, FLORENCE, MA 01062-1443
(517) 442-7396
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2381583
MA
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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