Individual provider · Type 1 NPI
Tiffany Darlene Autrey, FNP
Family Nurse Practitioner · Mesa, AZ
NPI number
1053169219
Active
Practice location
1637 N 66th St
Mesa, AZ 85205-3741
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN209925 (AZ) |
| Family Nurse Practitioner Primary | 363LF0000X | 305685 (AZ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1053169219
Tiffany Darlene Autrey, FNP's National Provider Identifier is 1053169219, issued on May 10, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mesa, AZ. The record was last updated on May 10, 2024.