Provider Demographics
NPI:1760911986
Name:FAUSS, TIFFANY (DNP, FNP-C)
Entity type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:
Last Name:FAUSS
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 E ROSEMONTE DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85024-2982
Mailing Address - Country:US
Mailing Address - Phone:480-508-0700
Mailing Address - Fax:928-433-0115
Practice Address - Street 1:713 E ROSEMONTE DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85024-2982
Practice Address - Country:US
Practice Address - Phone:480-508-0700
Practice Address - Fax:928-433-0115
Is Sole Proprietor?:No
Enumeration Date:2017-06-09
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP10224363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily