Provider Demographics
NPI:1386194769
Name:CLAUSEN, TIFFANY N (FNP-C)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:N
Last Name:CLAUSEN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:
Other - Last Name:CARROLL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:WOUNDTECH
Mailing Address - Street 2:200 S PARK RD SUITE 200
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021
Mailing Address - Country:US
Mailing Address - Phone:866-986-2263
Mailing Address - Fax:844-395-6696
Practice Address - Street 1:WOUNDTECH
Practice Address - Street 2:200 S PARK RD SUITE 200
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021
Practice Address - Country:US
Practice Address - Phone:866-986-2263
Practice Address - Fax:844-395-6696
Is Sole Proprietor?:No
Enumeration Date:2016-10-10
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001221474163W00000X
FL9296965163W00000X, 363LF0000X
VA0024174099363LF0000X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163W00000XNursing Service ProvidersRegistered Nurse
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily