Individual
TAMARA LYNN GORNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
818 RIVERSIDE AVE, ADRIAN, MI 49221-1446
(517) 265-0900
Mailing address
1650 EBER RD STE E, HOLLAND, OH 43528-9793
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704271380
MI
363L00000X
Nurse Practitioner
APRN.CNP.019999
OH
Other
Enumeration date
08/26/2016
Last updated
10/18/2022
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