Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HEATHER TACK, NP
Active Sole ProprietorHEATHER TACK, NP is a Nurse Practitioner healthcare provider located in NORTHVILLE, Michigan. NPI 1023301595 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · NORTHVILLE, MI
Registration Details
- NPI Number
- 1023301595
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 17, 2011 (15.227085062136 yrs)
- Last Updated
- Apr 19, 2013
- License
-
4704222690 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15474 HAGGERTY RDNORTHVILLE, MI, 481700844Browse MI providers · Browse ZIP 48170
- Phone
- 2486150889
- Fax
- 7344045317
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in NORTHVILLE, MI
| Name | Credential | NPI |
|---|---|---|
| SHELLY ADKINS SPRAIN | N.P. | 1790890515 |
| MS. BARBARA SUE FREELAND | RN | 1396909958 |
| GRETCHEN MARIE JAKUBIAK | NP | 1609169184 |
| LIBBY YU | NP | 1144513409 |
| MRS. PAULA ANN WITTE | NP | 1780930453 |
| WENDY LYNN LOOPE | NP | 1477957363 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.