Tautkus, Michelle L.

Tautkus, Michelle L. is an individual health care provider with primary practice located at 475 Kilvert Street Suite 310, Warwick RI 02886. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Tautkus, Michelle L. can be contacted via phone (781) 472-8650.

Contact Information

Primary practice address
475 Kilvert Street Suite 310 Warwick RI 02886
Phone: (781) 472-8650
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1856 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00464 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1856 Massachusetts

Profile Details

NPI number 1053319038
LBN Legal business name Tautkus, Michelle L.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Feb 21st, 2023 - about last year

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 1053319038 NPPES
Rhode Island Other PA00464 RHODE ISLAND LICENSE

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