Individual
TASIA RITA YALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
3990 JOHN R ST, DETROIT, MI 48201-2059
(313) 745-5111
(313) 745-3500
Mailing address
3990 JOHN R ST, DETROIT, MI 48201-2059
(313) 745-5111
(313) 745-3500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704408073
MI
363LF0000X
Family Nurse Practitioner
295480
AZ
Other
Enumeration date
07/26/2023
Last updated
02/28/2025
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