Search › Michigan › 164W00000X
Tyra Hawthorne
NPI 1619675139 · on the registry since 2023
Practice
- Address
- 11464 Nashville St
Detroit, MI 48205 - Phone
- (313) 694-7290
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-02-23
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