Tiffany Ann Cervenak in Laguna Hills - Nurse Practitioner
Tiffany Ann Cervenak - NPI 1104803543
Tiffany Ann Cervenak is a Nurse Practitioner in Laguna Hills, California. Tiffany Ann Cervenak practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Tiffany Ann Cervenak is 1104803543. The last update date is 2007-07-08.
Tiffany Ann Cervenak's current location address is 24012 Calle De La Plata, Laguna Hills, California. You can contact this provider via phone number 9498371578 and fax number 9498378154. The mailing address for Tiffany Ann Cervenak is 24012 Calle De La Plata, Laguna Hills, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tiffany Ann Cervenak |
|---|---|
| Address | 24012 Calle De La Plata, Laguna Hills, California |
| Phone Number | 9498371578 |
| Fax Number | 9498378154 |
| Sole Proprietor | X |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1104803543 |
|---|---|
| Provider Enumeration Date | 2005-12-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 24012 Calle De La Plata |
|---|---|
| City | Laguna Hills |
| State | California (CA) |
| Post Code | 926533621 |
| Phone Number | 9498371578 |
| Fax Number | 9498378154 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 10177 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identification code issued to Tiffany Ann Cervenak by the Centers for Medicare & Medicaid Services?
The Tiffany Ann Cervenak has been assigned the NPI (National Provider Identifier) 1104803543 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Tiffany Ann Cervenak located?
The Tiffany Ann Cervenak is located at 24012 Calle De La Plata, Laguna Hills, CA 926533621.
What is Tiffany Ann Cervenak's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tiffany Ann Cervenak is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.
On what date was the 1104803543 assigned to Tiffany Ann Cervenak?
The Tiffany Ann Cervenak was issued its 1104803543 on 2005-12-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Tiffany Ann Cervenak's information last updated?
The Tiffany Ann Cervenak's information was last updated on 2007-07-08.
NPI Number: 1063415297
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