Search › Michigan › 367500000X
Paulina Tackett, CRNA
NPI 1780256719 · on the registry since 2021 · sole proprietor
Practice
- Address
- 39363 Owendale Dr
Sterling Heights, MI 48310 - Phone
- (586) 883-2905
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 163W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-20
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