Nutrena Tate
Nurse Practitioner - Pediatrics
3901 Beaubien St
Detroit
, Michigan 48201-2119
Nutrena Tate
Nurse Practitioner - Pediatrics
3901 Beaubien St
Detroit
, Michigan 48201-2119
(313) 745-4000
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Nutrena Tate
- 3901 Beaubien 5th Floor Carls Bldg
- Detroit, MI
- Zip : 48201
- Phone : (313) 745-4000
Second Address
- Nutrena Tate
- 3901 Beaubien St
- Detroit, MI
- Zip : 48201-2119
- Phone : (313) 745-5437
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 4704209389 | MI |
National Provider Identifier
| NPI | 1003936832 |
|---|---|
| Provider Name | Nutrena Tate |
| First Address | Detroit, MI 48201 |
| Second Address | Detroit, MI 48201-2119 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/03/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.