Individual
TATYANNA COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
261 MACK AVE, DETROIT, MI 48201-2417
(313) 745-1203
Mailing address
3990 JOHN R 2-HUDSON RM 2910, DETROIT, MI 48201
(313) 966-2327
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704182339
MI
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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