Individual
TANYA M GILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
120 SEWARD ST APT 307, DETROIT, MI 48202-4447
(808) 218-0319
Mailing address
120 SEWARD ST APT 307, DETROIT, MI 48202-4447
(808) 218-0319
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4704319830
MI
2084P0802X
Addiction Psychiatry Physician
4704319830
MI
2084P0804X
Child & Adolescent Psychiatry Physician
4704319830
MI
2084P0805X
Geriatric Psychiatry Physician
4704319830
MI
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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