Individual
MRS. TAMIRA EMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 916-2698
Mailing address
1222 10TH AVE, PORT HURON, MI 48060-3406
(810) 990-1325
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704262693
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704262693
MI
Other
Enumeration date
12/01/2016
Last updated
06/24/2025
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