Tanika Marie Dooley, FNP-C
Nurse Practitioner, Family in Ypsilanti, MI. Individual provider (NPI-1).
NPI number1407495161
StatusActive
Last updated in NPPESJun 16, 2022
Details
- NPI
- 1407495161
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tanika Marie Dooley
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 29, 2019
- Certification date
- Jun 16, 2022
- Last updated
- Jun 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F12190523 | MI | Yes |
| 363L00000X | Nurse Practitioner | 4704262494 | MI | |
| 363LP2300X | Nurse Practitioner, Primary Care | 4704262494 | MI |
Practice location
135 S Prospect StYpsilanti, MI 48198-7914
Phone 734-624-6475
Mailing address
6378 Woodwall CtVan Buren Twp, MI 48111-5170
Phone 734-624-6475
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All 52 Family Nurse Practitioner providers in Ypsilanti · All 4,454 providers in Ypsilanti
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