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Tiffany R Vandivier
Nurse Practitioner in Chicago, Illinois
NPI 1811670656

Tiffany R Vandivier is a Nurse Practitioner based in Chicago, IL. Tiffany R Vandivier practices in Chicago, IL. The NPI Number for Tiffany R Vandivier is 1811670656 and holds a License No. 209027924 (Illinois).

The current practice location address for Tiffany R Vandivier is 946 N Racine Ave, Chicago, IL and can be reached out via phone at 330-998-5862.

Location: 946 N Racine Ave, Chicago, IL, 60642-4126
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811670656
Provider Name
Tiffany R Vandivier
Credential
Provider Entity Type
Individual
Gender
Female
Address
946 N Racine Ave, Chicago, IL, 60642-4126
Phone Number
330-998-5862
Fax Number
Provider Enumeration Date
08/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
946 N Racine Ave
City
Chicago
State
Illinois
Zip
60642-4126
Phone Number
330-998-5862
Fax Number
person
Provider Business Mailing Address Details
Address
946 N Racine Ave
City
Chicago
State
Illinois
Zip
60642-4126
Phone Number
330-998-5862
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209027924 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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