Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TYWANNA R TANNER, NURSE PRACTITIONER
Active Sole ProprietorMRS. TYWANNA R TANNER, NURSE PRACTITIONER is a Nurse Practitioner healthcare provider located in LINCOLN PARK, Michigan. NPI 1518438332 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · LINCOLN PARK, MI
Registration Details
- NPI Number
- 1518438332
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 6, 2018 (7.6700047201552 yrs)
- Last Updated
- Sep 1, 2021
- License
-
4704264238 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1158 FORT STLINCOLN PARK, MI, 481461840Browse MI providers · Browse ZIP 48146
- Phone
- 3139890124
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in LINCOLN PARK, MI
| Name | Credential | NPI |
|---|---|---|
| KAYLA ANN POWERS | — | 1063291730 |
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.