Provider Demographics
NPI:1770054082
Name:BRIGGS, TIFFANY (ARNP)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 W PARKS HWY STE 101
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-6939
Mailing Address - Country:US
Mailing Address - Phone:907-357-7781
Mailing Address - Fax:907-745-6573
Practice Address - Street 1:1301 W PARKS HWY STE 101
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-6939
Practice Address - Country:US
Practice Address - Phone:907-357-7781
Practice Address - Fax:907-745-6573
Is Sole Proprietor?:No
Enumeration Date:2018-12-12
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11000171367A00000X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife