Individual provider · Type 1 NPI

Tiffany Dianne Dineen, AGNP-C

Gerontology Nurse Practitioner · Conway, SC

NPI number 1972245256 Active

Practice location

251 University Blvd, Ste B
Conway, SC 29526-8834

Fax (843) 347-1218

Mailing address

300 Singleton Ridge Rd, Attn Pns Credentialing
Conway, SC 29526-9142

Other practice locations

  • 251 University Blvd, Ste A, Conway, SC 29526-8834 · (843) 347-0524

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X25803 (SC)

Gerontology Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1972245256

Tiffany Dianne Dineen, AGNP-C's National Provider Identifier is 1972245256, issued on Apr 8, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Conway, SC. The record was last updated on Aug 29, 2024.