Healthcare Provider Details

I. General information

NPI: 1770054082
Provider Name (Legal Business Name): TIFFANY BRIGGS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2018
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 W PARKS HWY STE 101
WASILLA AK
99654-6939
US

IV. Provider business mailing address

1301 W PARKS HWY STE 101
WASILLA AK
99654-6939
US

V. Phone/Fax

Practice location:
  • Phone: 907-357-7781
  • Fax: 907-745-6573
Mailing address:
  • Phone: 907-357-7781
  • Fax: 907-745-6573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRN11000171
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN11000171
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number151300
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: