Tannenbaum, Moira Allison

Tannenbaum, Moira Allison is an individual health care provider with primary practice located at 3185 Oakwood St , Ann Arbor MI 48104-6667. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Lactation Consultant, Nursing Service Providers / Neonatal, Low-Risk, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Tannenbaum, Moira Allison can be contacted via phone (734) 975-1402.

Contact Information

Primary practice address
3185 Oakwood St Ann Arbor MI 48104-6667
Phone: (734) 975-1402
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Lactation Consultant 163WL0100X 4704216874 Michigan
Nursing Service Providers / Neonatal, Low-Risk 163WN0003X 4704216874 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 4704216874 Michigan

Profile Details

NPI number 1467789990
LBN Legal business name Tannenbaum, Moira Allison
Credentials C.N.M., R.N.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2009
Last updated Aug 3rd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467789990 NPPES
West Virginia MEDICAID 3810025733

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