MEDICARE: TIFFANY NACCARATO APRN

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	53-77000	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740659887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY NACCARATO APRN

Provider Business Mailing Address
First Line	:	1325 RESEARCH PARK DR
Second Line	:
City	:	MANHATTAN
State	:	KS
Zip	:	66502-5000
Country	:	US
Telephone Number	:	785-537-2651
Fax Number	:

Provider Business Practice Location Address
First Line	:	1325 RESEARCH PARK DR
Second Line	:
City	:	MANHATTAN
State	:	KS
Zip	:	66502-5000
Country	:	US
Telephone Number	:	785-537-2651
Fax Number	:

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

Provider Enumeration Date	:	09/18/2015
Last Update Date	:	05/22/2026

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