Individual provider · Type 1 NPI
Tiffany Walsh, APRN
Primary Care Nurse Practitioner · Chicago, IL
NPI number
1780217992
Active
Practice location
1740 W Taylor St
Chicago, IL 60612-7232
Mailing address
6008 N Avondale Ave
Chicago, IL 60631-3114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 209.019376 (IL) |
| Gerontology Nurse Practitioner | 363LG0600X | 209.019376 (IL) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 209.019376 (IL) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1780217992
Tiffany Walsh, APRN's National Provider Identifier is 1780217992, issued on Feb 16, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Chicago, IL. The record was last updated on Feb 16, 2020.