Individual provider · Type 1 NPI

Tiffany Bae, FNP-C

Nurse Practitioner · Lake Forest, CA

NPI number 1659015923 Active

Practice location

14 Orchard
Lake Forest, CA 92630-8310

Mailing address

503 Deeann
Lake Forest, CA 92610-3034

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200X95171890 (CA)
Nurse Practitioner Primary 363L00000X95020286 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1659015923

Tiffany Bae, FNP-C's National Provider Identifier is 1659015923, issued on Apr 23, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lake Forest, CA. The record was last updated on Feb 12, 2024.