Individual provider · Type 1 NPI
Tiffany Sidra Taylor-Mduba, APRN
Pediatric Nurse Practitioner · Yucca Valley, CA
NPI number
1508500760
Active
Practice location
58375 Twentynine Palms Hwy, Suite B
Yucca Valley, CA 92284
Mailing address
7760 Balsa Ave
Yucca Valley, CA 92284-8500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 818748 (CA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 95020695 (CA) |
Pediatric Nurse Practitioner: Definition to come...
Other pediatric nurse practitioner providers in Yucca Valley
About NPI 1508500760
Tiffany Sidra Taylor-Mduba, APRN's National Provider Identifier is 1508500760, issued on Apr 25, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Yucca Valley, CA. The record was last updated on Apr 25, 2022.