Healthcare Provider Details

I. General information

NPI: 1235916495
Provider Name (Legal Business Name): TIFFINY ELESE KOCHAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TIFFINY ELESE BROWN

II. Dates (important events)

Enumeration Date: 09/12/2023
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 SW 10TH AVE
TOPEKA KS
66604-1301
US

IV. Provider business mailing address

2858 SW VILLA WEST DR STE 100
TOPEKA KS
66614-5474
US

V. Phone/Fax

Practice location:
  • Phone: 785-354-5598
  • Fax: 785-354-5396
Mailing address:
  • Phone: 888-901-6621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number53-82507
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: