MEDICARE: TIFFANY RICHEY APRN-CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	109072	OK

General Provider Information

NPI Number	:	1376093443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY RICHEY APRN-CNP

Provider Business Mailing Address
First Line	:	8181 RED FEATHER
Second Line	:
City	:	ARCADIA
State	:	OK
Zip	:	73007-9469
Country	:	US
Telephone Number	:	405-432-6789
Fax Number	:

Provider Business Practice Location Address
First Line	:	910 NW 139TH STREET PKWY
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73013-9525
Country	:	US
Telephone Number	:	405-254-3000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2016
Last Update Date	:	04/22/2026

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