Tamara Dirven, ACNP-BC

NPI 1780944538 · on the registry since 2012

Practice

Address: 3990 John R St
Detroit, MI 48201
Phone: (313) 993-6023
Organisation at this address: Dmc
Walgreen Co
Crnas Of Michigan
Mahmud Zamlut Pllc
Qussai Salamah Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 396

Registry record

Primary taxonomy: 363LA2100X
363LA2100X
Also registered as: 363LA2100X
Licence states on file: MI, GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-04-03

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