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NPI Code Detail

MEDICARE: TIFFANY ANN HAFNER CRNP, FNP-C

MEDICARE: TIFFANY ANN HAFNER CRNP, FNP-C
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
1363LF0000XFamily Nurse PractitionerSP018129PA

General Provider Information

NPI Number : 1922512383
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY ANN HAFNER CRNP, FNP-C
Provider Business Mailing Address
First Line : 110 S SCHULTZ RD
Second Line :
City : TELFORD
State : PA
Zip : 18969-1344
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 840 S VALLEY FORGE RD
Second Line :
City : LANSDALE
State : PA
Zip : 19446-4242
Country : US
Telephone Number : 215-362-6303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2017
Last Update Date : 11/21/2017

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