MRS. TYWANNA TANNER, NURSE PRACTITIONER

Nurse Practitioner

Active Individual
NPI: 1518438332

Practice Address

1158 FORT ST
Lincoln Park, MI 48146

Phone: (313) 989-0124

Specialties

Specialty Code Primary License
Clinic/Center - Pain 261QP3300X No -
Nurse Practitioner 363L00000X Yes 4704264238 (MI)

Frequently Asked Questions

NPI 1518438332 is the National Provider Identifier for MRS. TYWANNA TANNER, NURSE PRACTITIONER, a Nurse Practitioner provider located in Lincoln Park, MI. This NPI was enumerated on December 6, 2018.
MRS. TYWANNA TANNER, NURSE PRACTITIONER practices at 1158 FORT ST, Lincoln Park, MI 48146.

Quick Facts

NPI
1518438332
Type
Individual
Enumerated
Dec 6, 2018
Last Updated
Sep 1, 2021

Nearby Providers