Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIFFANY KELLY DISANZO
ActiveTIFFANY KELLY DISANZO is a Surgical Physician Assistant healthcare provider located in RALEIGH, North Carolina. NPI 1043917354 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · RALEIGH, NC
Registration Details
- NPI Number
- 1043917354
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 8, 2023 (3.5129473818902 yrs)
- Last Updated
- Sep 12, 2023
- Licenses
-
0010-13523 (NC)0010-13523 (NC)
Practice Information
- Address
-
3000 NEW BERN AVERALEIGH, NC, 276101231Browse NC providers · Browse ZIP 27610
- Phone
- 9193508000
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in RALEIGH, NC
| Name | Credential | NPI |
|---|---|---|
| MELISSA ROGERS | PA-C | 1194707638 |
| MR. JON DABU VERCELES | PA-C | 1841263324 |
| ANN E WHITAKER | PA | 1386618379 |
| MS. MICHELLE MARCELLA MCMOON | PA-C | 1568439909 |
| MR. DANIEL CRAIG SMYRSKI | PA C | 1720031966 |
| MR. NEAL RICHARD COLE | PAC | 1932152972 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.