Search › Michigan › 363L00000X
Tywanna Tanner, NURSE PRACTITIONER
NPI 1518438332 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1158 Fort St
Lincoln Park, MI 48146 - Phone
- (313) 989-0124
- Organisation at this address
- Greatness Llc
Bonafide Care Pllc
B&K Pharmaceuticals Pllc
Acadian Medical Provider
Rite Health Pharmacy Fort LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Additional practice sites
- 31500 W 13 Mile Rd Ste 100, Farmington Hills, MI
- 31500 W 13 Mile Rd, Farmington Hills, MI
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 261QP3300X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan