Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tiffani Anne Fanucchi, LE

Individual provider Surgical Assistant · NPI 1023784717

Tiffani Anne Fanucchi, LE is a Surgical Assistant in Grass Valley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
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Practice location Address checks out

152 Mill St Ste F
Grass Valley, CA 95945-4771
Phone: (530) 913-6887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 8339 (CA)

Record details

NPI number1023784717
Entity typeIndividual (Type 1)
GenderFemale
Credentials LE
Sole proprietorYes
NPI enumeratedAugust 21, 2021
Last updated in NPPESAugust 21, 2021
Certification dateAugust 19, 2021