Individual
MRS. TIFFANY E CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2 W CRESCENT PARK, WARREN, PA 16365-2111
(814) 723-3300
Mailing address
2 W CRESCENT PARK, WARREN, PA 16365-2111
(814) 723-3300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN18148
SC
363L00000X
Nurse Practitioner
Primary
SP016294
PA
363LF0000X
Family Nurse Practitioner
18148
SC
Other
Enumeration date
02/12/2013
Last updated
05/11/2020
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