Individual
ROSARIO TANGUAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4136 LEGACY PKWY, LANSING, MI 48911-4265
(517) 492-0517
(517) 882-3633
Mailing address
LIB-LEGACY LANSING -MI, MI,, 4136 LEGACY PARKWAY, LANSING, MI 48911
(517) 492-0784
(517) 913-6267
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704295379
MI
363LP2300X
Primary Care Nurse Practitioner
4704295379
MI
Other
Enumeration date
01/18/2019
Last updated
09/09/2024
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