Provider Demographics
NPI:1689386583
Name:STANGER-WILLIAMS, TIFFANY (CNM)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:STANGER-WILLIAMS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6440 W NEWBERRY RD STE 111
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-8300
Mailing Address - Country:US
Mailing Address - Phone:352-331-3332
Mailing Address - Fax:352-331-3320
Practice Address - Street 1:6440 W NEWBERRY RD STE 111
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-8300
Practice Address - Country:US
Practice Address - Phone:352-331-3332
Practice Address - Fax:352-331-3320
Is Sole Proprietor?:No
Enumeration Date:2022-12-22
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11021826367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife