Individual
CAROL A TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1200 E MICHIGAN AVE, SUITE 340, LANSING, MI 48912-1800
(517) 364-5955
(517) 364-5959
Mailing address
1200 E MICHIGAN AVE, SUITE 340, LANSING, MI 48912-1800
(517) 364-5955
(517) 364-5959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704124272
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4910775
—
MI
Enumeration date
10/02/2006
Last updated
09/12/2014
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