Individual
TATIANA MARIA MICHURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
376 E APPLE AVE, MUSKEGON, MI 49442-3466
(231) 724-1111
(231) 724-4188
Mailing address
376 E APPLE AVE, MUSKEGON, MI 49442-3466
(231) 724-1111
(231) 724-4188
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704269736
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704269736
MI
Other
Enumeration date
10/02/2018
Last updated
01/18/2024
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