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Contact Information

TIFFANY K AUTRY, DNP FNP
225 E IDAHO AVE STE 30
LAS CRUCES, NM88005
 Phone: 575-303-2929
 Fax: 575-233-6260
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for TIFFANY K AUTRY · (Female)

NPI # 1003389875
Status Active
Credentials DNP FNP
Entity Individual
Enumeration date 01/04/2019
Last updated 08/12/2019 - About a month ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 54435
  • NM License # 544355
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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