Individual
MRS. EMILY JANE TARDIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
12811 NORTHLINE RD, SOUTHGATE, MI 48195-1109
(734) 283-4600
Mailing address
12811 NORTHLINE RD, SOUTHGATE, MI 48195-1109
(734) 283-4600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F10230864
MI
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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