Tanner, Tywanna R

Tanner, Tywanna R is an sole proprietor health care provider with primary practice located at 1158 Fort St , Lincoln Park MI 48146-1840. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Pain, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Tanner, Tywanna R can be contacted via phone (313) 989-0124.

Contact Information

Primary practice address
1158 Fort St Lincoln Park MI 48146-1840
Phone: (313) 989-0124
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Pain 261QP3300X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704264238 Michigan

Profile Details

NPI number 1518438332
LBN Legal business name Tanner, Tywanna R
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2018
Last updated Sep 1st, 2021 - about 3 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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