Individual
MS. MOIRA ALLISON TANNENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M., R.N.
Contact information
Practice address
3185 OAKWOOD ST, ANN ARBOR, MI 48104-6667
(734) 975-1402
Mailing address
3185 OAKWOOD ST, ANN ARBOR, MI 48104-6667
(734) 975-1402
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
4704216874
MI
163WN0003X
Low-Risk Neonatal Registered Nurse
4704216874
MI
367A00000X
Advanced Practice Midwife
Primary
4704216874
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810025733
—
WV
Enumeration date
11/04/2009
Last updated
08/03/2013
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