Provider Demographics
NPI:1518547298
Name:BROWN, TIFFANNI (ND)
Entity Type:Individual
Prefix:DR
First Name:TIFFANNI
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 E ROOSEVELT RD UNIT 177
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-4539
Mailing Address - Country:US
Mailing Address - Phone:270-985-5940
Mailing Address - Fax:
Practice Address - Street 1:1465 WOODBURY AVE # 637
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-3210
Practice Address - Country:US
Practice Address - Phone:331-251-8049
Practice Address - Fax:800-991-2996
Is Sole Proprietor?:No
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0041175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath