Provider Demographics
NPI:1851630925
Name:LANFORD, TIFFANY KAY (FNP)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:KAY
Last Name:LANFORD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:KAY
Other - Last Name:DILLARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:9141 GRANT ST STE 200
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-4318
Mailing Address - Country:US
Mailing Address - Phone:303-252-0104
Mailing Address - Fax:303-252-8552
Practice Address - Street 1:9141 GRANT ST STE 200
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4318
Practice Address - Country:US
Practice Address - Phone:303-252-0104
Practice Address - Fax:303-252-8552
Is Sole Proprietor?:No
Enumeration Date:2013-02-08
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID76395363L00000X
COC-APN.0001949-C-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner