Provider Demographics
NPI:1033512959
Name:STUREMAN, TIFFANY (ARNP)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:STUREMAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5155 CORPORATE WAY
Mailing Address - Street 2:UNIT A
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-4356
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5155 CORPORATE WAY
Practice Address - Street 2:UNIT A
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-4356
Practice Address - Country:US
Practice Address - Phone:561-624-0123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-06
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9277495363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily