Individual
TERRY K TUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN BC
Contact information
Practice address
207 FLETCHER, ANN ARBOR, MI 48109-1050
(734) 763-5811
(734) 763-7505
Mailing address
207 FLETCHER, ANN ARBOR, MI 48109-1050
(734) 763-5811
(734) 763-7505
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704081351
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5008602540
BCBS
MI
Enumeration date
08/31/2006
Last updated
07/08/2007
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