Individual provider · Type 1 NPI
Tiffany Roper Spicuzza, PNP-AC
Critical Care Pediatric Nurse Practitioner · Mandeville, LA
NPI number
1295385045
Active
Practice location
3663 Highway 190 Ste 100
Mandeville, LA 70471-3497
Mailing address
184 Fayedaye Dr
Madisonville, LA 70447-3171
Other practice locations
- 200 Henry Clay Ave, New Orleans, LA 70118-5798 · (504) 899-9511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Pediatric Nurse Practitioner Primary | 363LP0222X | 207500 (LA) |
Critical Care Pediatric Nurse Practitioner: Definition to come...
About NPI 1295385045
Tiffany Roper Spicuzza, PNP-AC's National Provider Identifier is 1295385045, issued on Sep 13, 2019. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Mandeville, LA. The record was last updated on Feb 27, 2025.