Individual provider · Type 1 NPI
Tiffany R. Vandivier
Nurse Practitioner · Chicago, IL
Practice location
946 N Racine Ave
Chicago, IL 60642-4126
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209027924 (IL) |
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 1811670656
Tiffany R. Vandivier's National Provider Identifier is 1811670656, issued on Aug 9, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chicago, IL. The record was last updated on Aug 9, 2023.