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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY TIFFANY CERENECHE, NP-C

Active

MARY TIFFANY CERENECHE, NP-C is a Primary Care Nurse Practitioner healthcare provider located in LAGUNA BEACH, California. NPI 1093446957 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · LAGUNA BEACH, CA

Registration Details

NPI Number
1093446957
Provider Type
Individual
Gender
Female
NPI Issued
Jun 22, 2022 (4.1441294466909 yrs)
Last Updated
May 27, 2025
License
NP95019956 (CA)

Practice Information

Address
333 THALIA ST
LAGUNA BEACH, CA, 926512713
Browse CA providers · Browse ZIP 92651
Phone
9494990577
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X
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.