Individual provider · Type 1 NPI

Tiffany Konsum Fong

Family Nurse Practitioner · Sunnyvale, CA

NPI number 1023855756 Active

Practice location

201 Old San Francisco Rd
Sunnyvale, CA 94086-6385

Fax (408) 523-3224

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95030911 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1023855756

Tiffany Konsum Fong's National Provider Identifier is 1023855756, issued on Jul 10, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Sunnyvale, CA. The record was last updated on Oct 16, 2024.