Provider Demographics
NPI:1841180304
Name:VISITACION-VORAS, TIFANE DE LOS REYES (MSN BSN RN PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:TIFANE
Middle Name:DE LOS REYES
Last Name:VISITACION-VORAS
Suffix:
Gender:F
Credentials:MSN BSN RN PMHNP-BC
Other - Prefix:MRS
Other - First Name:TIFANE
Other - Middle Name:R
Other - Last Name:VORAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSN BSN RN PMHNP-BC
Mailing Address - Street 1:2 CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:TRAPPE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-2047
Mailing Address - Country:US
Mailing Address - Phone:856-434-2975
Mailing Address - Fax:
Practice Address - Street 1:2 CENTER AVE
Practice Address - Street 2:
Practice Address - City:TRAPPE
Practice Address - State:PA
Practice Address - Zip Code:19426-2047
Practice Address - Country:US
Practice Address - Phone:856-434-2975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP033190363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health