Tuck, Elizabeth Dawn

Tuck, Elizabeth Dawn is an individual health care provider with primary practice located at 1866 S Morey Rd , Lake City MI 49651-9190. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Tuck, Elizabeth Dawn can be contacted via phone (231) 908-8888.

Contact Information

Primary practice address
1866 S Morey Rd Lake City MI 49651-9190
Phone: (231) 908-8888
Fax: (833) 989-2153
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704272712 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 4704272712 Michigan

Profile Details

NPI number 1609361807
LBN Legal business name Tuck, Elizabeth Dawn
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2018
Last updated Sep 28th, 2022 - about 2 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 1609361807 NPPES
Michigan Other 4704272712 LICENSE

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