Most Relevant Information
Provider Data
| NPI Number: | 1003389875 |
| Provider Name: | TIFFANY KAYLA AUTRY DNP FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 54435 |
Most Important Dates
| Enumeration Date: | 01/04/2019 |
| Last Updated: | 01/21/2023 |
Provider Practice Location
1005 S TELSHOR BLVD STE A
LAS CRUCES
NM
880114879
Practice Location Phone/Fax
| Phone: | 5752627546 |
| Fax: | 5758882273 |
Provider Mailing Location
PO BOX 871
LAS CRUCES
NM
880040871
Provider Mailing Phone/Fax
| Phone: | 4097198846 |
| Fax: | 5758882273 |
Suggested EMR
Family Practice EMR