DONNA TACTAC RN NPI 1740496579

NPI Information

NPI: 1740496579
Provider Name: DONNA TACTAC, RN
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
16200 19 MILE RD
CLINTON TWP, MI
ZIP 48038
Phone: (586) 263-8696
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Donna Tactac, RN is a psychiatric/mental health registered nurse in Clinton Twp, MI. Donna Tactac, RN NPI is 1740496579. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16200 19 MILE RD
CLINTON TWP, MI
ZIP 48038-103
Phone: (586) 263-8696
Fax: (586) 263-8731

The enumeration date for this NPI number is 5/16/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	4704188742	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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