Marilyn Ann Tiffault NURSE PRACTITIONER

NPI 1629270756 - Nurse Practitioner - 363LW0102X

NPI Details
NPI 1629270756
Gender Female
Enumeration Date 06/01/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
105 N MAGNOLIA ST
SUMTER SC, 29150-4941, US
Phone (803) 773-5511
Fax
Business Location
1022 SKARDON ST
SUMTER SC, 29154-6072, US
Phone (803) 481-3864
Fax
Toxanomy
Taxonomy Code 363LW0102X
License State South Carolina
License Number 808
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According to our database, Ms. Marilyn Ann Tiffault NURSE PRACTITIONER NPI is 1629270756, taxonomy code is 363LW0102X and license number is 808, license state is located at South Carolina. Marilyn Ann Tiffault NURSE PRACTITIONER physically located at 105 N Magnolia St, Sumter SC, 29150-4941. NPI Number Marilyn Ann Tiffault NURSE PRACTITIONER has the Individual type.

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1629270756 NPI number is provided on an as is basis without warranty of any kind. 1629270756 is maintained by the National Plan & Provider Enumeration System. The contents of Marilyn Ann Tiffault NURSE PRACTITIONER are for informational purposes only.