Individual
MRS. TAMEKIA R NASH-WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6766 MORTON TAYLOR RD, VAN BUREN TWP, MI 48111-1156
(734) 474-6203
Mailing address
6766 MORTON TAYLOR ROAD, VAN BUREN TWP, MI 48111-1156
(734) 474-6203
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704312078
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704312078
MI
Other
Enumeration date
08/24/2020
Last updated
03/22/2024
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