Individual
TINA MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
615 E CROSSTOWN PKWY, KALAMAZOO, MI 49001-2501
(269) 553-7037
(269) 553-7007
Mailing address
615 E CROSSTOWN PKWY, KALAMAZOO, MI 49001-2501
(269) 553-7037
(269) 553-7007
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704293499
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704293499
MI
Other
Enumeration date
11/22/2017
Last updated
09/19/2025
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