Individual provider · Type 1 NPI
Tiffany Autumn Rivenburgh, NP
Psychiatric/Mental Health Nurse Practitioner · Norwich, NY
NPI number
1942562178
Active
Practice location
5 Court St, Suite 42
Norwich, NY 13815-1697
Fax (607) 334-4519
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 337325 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 401881 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1942562178
Tiffany Autumn Rivenburgh, NP's National Provider Identifier is 1942562178, issued on Jun 13, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Norwich, NY. The record was last updated on Oct 18, 2024.