Individual
MRS. LEAH ANN TATASCIORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN PHCNS-BC CBIS
Contact information
Practice address
1501 CASS ST STE C, TRAVERSE CITY, MI 49684-4157
(231) 932-0413
(231) 929-0048
Mailing address
1501 CASS ST STE C, TRAVERSE CITY, MI 49684-4157
(231) 932-0413
(231) 929-0048
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
4704242915
MI
Other
Enumeration date
06/15/2017
Last updated
07/21/2022
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