Individual
VICKI HELENA TYRRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, APRN, BC, GNP
Contact information
Practice address
400 HINCKLEY BLVD, SUITE 300, JACKSON, MI 49203-6125
(517) 782-7431
(517) 782-7483
Mailing address
2610 SIMPSON DR, CHELSEA, MI 48118-9711
(734) 475-3807
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704116542
MI
Other
Enumeration date
05/03/2006
Last updated
07/08/2007
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