Provider Demographics
NPI:1891311650
Name:ZIESER, TIFFANY AMBER (ARNP)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:AMBER
Last Name:ZIESER
Suffix:
Gender:
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1383 FONTANA BLVD
Mailing Address - Street 2:
Mailing Address - City:HAZLETON
Mailing Address - State:IA
Mailing Address - Zip Code:50641
Mailing Address - Country:US
Mailing Address - Phone:319-238-3662
Mailing Address - Fax:
Practice Address - Street 1:1383 FONTANA BLVD
Practice Address - Street 2:
Practice Address - City:HAZLETON
Practice Address - State:IA
Practice Address - Zip Code:50641-5064
Practice Address - Country:US
Practice Address - Phone:319-238-3662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-17
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA158274363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily