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General NPI Number Information
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NPI Number | 1730683319
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Entity Type | Individual
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Provider Name | TIFFANY WALKER NP
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Gender | Female
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Dates
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Enumeration Date | 03/20/2018
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 1100 W TOWN AND COUNTRY RD STE 1600
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City | ORANGE
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State | CA
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Zip | 92868-4698
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Country | US
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Telephone | 833-402-5803
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Fax |
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Provider Business Mailing Address
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Address Line | 7421 MARGOLLINI ST
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City | LAS VEGAS
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State | NV
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Zip | 89148-2670
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Country | US
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Telephone | 702-767-9346
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Fax |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN002775
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN002775
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN002775
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License Number State | NV
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