Individual
TARYN TYRAE CHRISWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
29794 JOY RD, LIVONIA, MI 48150-4059
(734) 855-4436
Mailing address
3204 S LIDDESDALE ST, DETROIT, MI 48217-1178
(313) 289-3461
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703128552
MI
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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