Individual
TAMMIE BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
882 OAKMAN BLVD STE F, DETROIT, MI 48238-3710
(313) 961-4890
Mailing address
16116 BURGESS, DETROIT, MI 48219-3844
(248) 238-6892
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704382767
MI
164W00000X
Licensed Practical Nurse
4703111240
MI
Other
Enumeration date
03/11/2015
Last updated
02/10/2025
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