Provider Demographics
NPI:1760911986
Name:VOSSOUGHI, TIFFANY (DNP, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:
Last Name:VOSSOUGHI
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19165 N 92ND WAY
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-5542
Mailing Address - Country:US
Mailing Address - Phone:480-381-3556
Mailing Address - Fax:480-381-3556
Practice Address - Street 1:6401 E THOMAS RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6078
Practice Address - Country:US
Practice Address - Phone:480-941-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-09
Last Update Date:2017-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP10224363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily