| Doctor Name: | DR. ELIZABETH M TIFFANY-ELLIS |
| NPI Number: | 1144211392 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, DNP, APN-C |
| License Number: | VP006074B |
| Business Practice Address: | 539 Egg Harbor Rd #1 Washington Medical Arts Building Sewell, NJ - 080802371 |
| Business Phone Number: | 8565890300 |
| Business Fax Number: | 8565891753 |
| Mailing Address: | 539 Egg Harbor Rd, #1 Washington Medical Arts Building SEWELL |
| State: | NJ |
| Postal Code: | 080802371 |
| Phone Number: | 8565890300 |
| Fax Number: | 8565891753 |
| NPI Enumeration Date: | 11/04/2005 |
| NPI Last Update Date: | 06/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | VP006074B |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |