Individual
MS. ALEXIS MIRANDA TAMPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19315 W 10 MILE RD, SOUTHFIELD, MI 48075-6596
(248) 483-8488
Mailing address
19315 W 10 MILE RD, SOUTHFIELD, MI 48075-6596
(248) 483-8488
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704322760
MI
Other
Enumeration date
09/10/2021
Last updated
10/27/2022
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