Individual provider · Type 1 NPI

Tiffany Porras Fanning

Student in an Organized Health Care Education/Training Program · Valhalla, NY

NPI number 1124879796 Active

Practice location

100 Woods Rd
Valhalla, NY 10595-1530

Call (914) 830-2196 Map

Mailing address

604 Tompkins Ave Apt C4
Mamaroneck, NY 10543-3727

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124879796

Tiffany Porras Fanning's National Provider Identifier is 1124879796, issued on Apr 1, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Valhalla, NY. The record was last updated on Apr 1, 2024.