Individual provider · Type 1 NPI

Tiffany A. Thieken

Pediatric Nurse Practitioner · Durham, NC

NPI number 1053664946 Active

Practice location

1301 Fayetteville St
Durham, NC 27707-2325

Mailing address

PO Box 52119
Durham, NC 27717-2119

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X215128 (NC)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1053664946

Tiffany A. Thieken's National Provider Identifier is 1053664946, issued on Oct 17, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Durham, NC. The record was last updated on Apr 15, 2013.