Advanced practice
Doctor of Nursing Practice and board-certified Adult-Gerontology Primary Care Nurse Practitioner, with a Post-Graduate Interdisciplinary Certificate in Gerontology.
Meet your provider
Tiffany Pulgiano,
DNP, APRN
Your provider. Your partner. Your advocate.
15+ yearsof clinical practiceBoard-certified Adult-Gerontology Primary Care
The patient-provider relationship is the most powerful tool in healthcare.
After more than 15 years in medicine, I created Symmetry Primary Care for more time, more listening, and fewer barriers between you and your provider.
Here, you are a person - not a patient number.
Credentials & background
Clinical depth,
human care.
15+years of clinical practice
Experience that makes room for the whole picture.
Utah-trained
DNP from the University of Utah, earned in 2015 with a focus on adult and geriatric populations.
An oncology foundation
Nearly a decade as a certified oncology nurse, first at Jersey Shore University Medical Center, then at the Huntsman Cancer Institute, where her doctoral team received a Susan G. Komen Breast Cancer Foundation grant to develop survivorship care plans.
Broad perspective
More than 15 years across internal medicine, primary care, and complex disease management, most recently seeing 20 to 25 patients a day in outpatient practice.
What she specializes in
A wider lens on your health.
In-office procedures
Laceration repair · Skin biopsies & cryotherapy · Botox & trigger point injections · Knee injections · External hemorrhoid removal · EKG & spirometry · Pap smears & IUD removal
Tiffany’s philosophy
“At Symmetry, we don't just treat what hurts. We look for why.”
A healthy patient-provider relationship is the foundation of your greatest health outcomes. Tiffany listens and learns about you as a whole person - your genetics, environment, nutrition, culture, beliefs, and emotions.
Beyond the clinic
Professional involvement.
Tiffany is an active member of the American Association of Nurse Practitioners (AANP), Utah Nurse Practitioners (UNP), and an Affiliate Member of the American College of Physicians (ACP).
She served as Hepatitis C Project ECHO Champion Chair from 2016 to 2024, collaborating with an interdisciplinary team and hepatologist mentors to bring treatment to underserved populations. In 2019, she was recognized in the top 10% nationwide for patient satisfaction and traveled to Washington, D.C. as a Patient Advocate Spokeswoman for Project ECHO.
The human behind the provider.
Outside the clinic, Tiffany is a proud mom to her two children, Alia and Joseph, and to Mike's daughter, Isley, whom she lovingly calls her "bonus child." They keep her grounded and remind her every day why this work matters. Originally from New Jersey (she still misses the beach), Tiffany now calls Utah home and has fully embraced the mountains, though the ocean still has her heart. She shares her life with her fiancé, Mike, and a lively household that includes a macaw, two dogs, two cats, and a lizard.
She is an avid skier, hiker, camper, and lover of the outdoors. You might also find her doing Pilates, singing, or deep in a Star Wars conversation. She has a passion for researching the history of medicine, religion, and art, with a particular weakness for odd facts and a great story. When she needs to escape, she turns to fantasy audiobooks, no apologies. When she needs to create, she bakes sourdough. She is an active member of St. Andrews Catholic Parish and volunteers with the Women's Society in her community.
Your next step