IndividualActive
Tiffany Spicuzza, PNP-AC
NPI 1295385045 · Critical Care Pediatric Nurse Practitioner · Mandeville, LA
Provider details
- NPI number
- 1295385045
- Entity type
- Individual
- Primary specialty
- Critical Care Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PNP-AC
- Sex
- Female
- Sole proprietor
- No
- License
- 207500 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3663 Highway 190 Ste 100
Mandeville, LA 70471-3497
Phone: (985) 272-1396
Approximate (ZIP-level) locationGet directions
Mailing address
184 Fayedaye Dr
Madisonville, LA 70447-3171
Additional practice locations (1)
- 200 Henry Clay AveNew Orleans, LA 70118-5798Phone: (504) 899-9511
Registry dates
- Enumerated
- 2019-09-13
- Last updated
- 2025-02-27
- Certified
- 2025-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.