Tianna Davis
Community Health Worker in Burton, MI. Individual provider (NPI-1).
NPI number1013716331
StatusActive
Last updated in NPPESMar 10, 2025
Details
- NPI
- 1013716331
- Entity type
- Individual (NPI-1)
- Name
- Tianna Davis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 10, 2025
- Certification date
- Mar 10, 2025
- Last updated
- Mar 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
1173 S Packard AveBurton, MI 48509-2311
Phone 833-478-9464
Mailing address
1173 S Packard AveBurton, MI 48509-2311
Phone 833-478-9464
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All 181 Community Health Worker providers in Burton · All 757 providers in Burton
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