Individual
ANGELA TASHTANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1896
(517) 364-2273
Mailing address
6621 BRASSIE SHOT RD, EAST LANSING, MI 48823-9632
(517) 512-1141
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704307056
MI
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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