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Individual
MRS. TANIKA MARIE DOOLEY
Active
Individual
MRS. TANIKA MARIE DOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704262494
MI
363LF0000X
Family Nurse Practitioner
Primary
F12190523
MI
363LP2300X
Primary Care Nurse Practitioner
4704262494
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407495161
FNP
MI
01
—
F12190523
FNP CERT # F12190523
MI
Enumeration date
12/29/2019
Last updated
06/16/2022
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