Individual provider · Type 1 NPI
Tiffany Van Brocklen
Family Nurse Practitioner · Schenectady, NY
NPI number
1750979522
Active
Practice location
3277 Mcdonald Ave
Schenectady, NY 12304-3940
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 718818 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | F355107-01 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1750979522
Tiffany Van Brocklen's National Provider Identifier is 1750979522, issued on Jan 6, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Schenectady, NY. The record was last updated on Apr 8, 2025.