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NPI 1114479284

NPI 1114479284 : TIFFANY DAWN CRESS CPNP : NEW BRAUNFELS, TX

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General NPI Number Information
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    NPI Number           |    1114479284
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    Entity Type          |    Individual 
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    Provider Name        |    TIFFANY DAWN CRESS CPNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/25/2016
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    Last Update Date     |    05/20/2025
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Provider Practice Location Address
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    Address Line         |    705 LANDA ST STE 140 
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    City                 |    NEW BRAUNFELS
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    State                |    TX
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    Zip                  |    78130-6172
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    Country              |    US
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    Telephone            |    210-566-1355
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    Fax                  |    810-202-7879
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Provider Business Mailing Address
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    Address Line         |    705 LANDA ST STE 140 
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    City                 |    NEW BRAUNFELS
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    State                |    TX
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    Zip                  |    78130-6172
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    Country              |    US
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    Telephone            |    210-566-1533
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    Fax                  |    810-202-7879
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP0200X
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    Taxonomy Name        |    Pediatric Nurse Practitioner
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    License Number       |    AP132097
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    License Number State |    TX
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