Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 4704243889 | MI |
N | 363LA2200X | Nurse Practitioner - Adult Health | 4704243889 | MI |
N | 363LG0600X | Nurse Practitioner - Gerontology | 4704243889 | MI |
Y | 363LP2300X | Nurse Practitioner - Primary Care | 4704243889 | MI |
NPI | 1033362827 |
---|---|
Provider Name | Tanya Lynn Ropes |
First Address | Ray Twp, MI 48096-1914 |
Second Address | Shelby Twp, MI 48315-4401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2008 |
Last Update Date | 25/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0867447 | BCBS PIN (01) | MI |
500E012730 | BCBS GROUP NUMBER (01) | MI |