Individual
MS. TINA MARCIA ALMANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPCNP-BC, MSN, AE-C
Contact information
Practice address
1903 WILKINS ST, DETROIT, MI 48207-2112
(313) 833-1100
(313) 832-5531
Mailing address
230 E BOSTON BLVD, DETROIT, MI 48202-1321
(313) 287-0123
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
TA151924
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77 4668008
—
MI
Enumeration date
12/22/2006
Last updated
04/01/2021
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