Provider Demographics
NPI:1639714033
Name:NORRIS, TIFFANY CHRISTINE (FNP-C)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:CHRISTINE
Last Name:NORRIS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41653 WAY OF GOODNESS
Mailing Address - Street 2:
Mailing Address - City:DEER TRAIL
Mailing Address - State:CO
Mailing Address - Zip Code:80105-7970
Mailing Address - Country:US
Mailing Address - Phone:303-619-6245
Mailing Address - Fax:
Practice Address - Street 1:41653 WAY OF GOODNESS
Practice Address - Street 2:
Practice Address - City:DEER TRAIL
Practice Address - State:CO
Practice Address - Zip Code:80105-7970
Practice Address - Country:US
Practice Address - Phone:303-619-6245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-10
Last Update Date:2019-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COF11190234363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily