Provider Demographics
NPI:1891301925
Name:KILHOFFER, TIFFANY ANN (APRN FNP-C)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:ANN
Last Name:KILHOFFER
Suffix:
Gender:F
Credentials:APRN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1721 W AVENUE A
Mailing Address - Street 2:
Mailing Address - City:ELK CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73644-3901
Mailing Address - Country:US
Mailing Address - Phone:580-303-4390
Mailing Address - Fax:877-286-3963
Practice Address - Street 1:1721 W AVENUE A
Practice Address - Street 2:
Practice Address - City:ELK CITY
Practice Address - State:OK
Practice Address - Zip Code:73644-3901
Practice Address - Country:US
Practice Address - Phone:580-303-4390
Practice Address - Fax:877-286-3963
Is Sole Proprietor?:No
Enumeration Date:2020-09-23
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK106036363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily