Provider Demographics
NPI:1962909325
Name:HOOVER, TIFFANIE NICOLE (APN)
Entity type:Individual
Prefix:MRS
First Name:TIFFANIE
Middle Name:NICOLE
Last Name:HOOVER
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MS
Other - First Name:TIFFANIE
Other - Middle Name:NICOLE
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5180 CROWTHER LN
Mailing Address - Street 2:
Mailing Address - City:ALAMOSA
Mailing Address - State:CO
Mailing Address - Zip Code:81101-8719
Mailing Address - Country:US
Mailing Address - Phone:719-580-0279
Mailing Address - Fax:
Practice Address - Street 1:SLV HEALTH
Practice Address - Street 2:106 BLANCA AVE
Practice Address - City:ALAMOSA
Practice Address - State:CO
Practice Address - Zip Code:81101
Practice Address - Country:US
Practice Address - Phone:719-589-2511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-11
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0993583-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily