Individual provider · NPI-1

Tina Marcia Almanza, PPCNP-BC, MSN, AE-C

Nurse Practitioner, Pediatrics · Detroit, MI

NPI number1508921388
StatusActive
Last updated in NPPESApr 1, 2021

Details

NPI
1508921388
Entity type
Individual (NPI-1)
Name
Ms. Tina Marcia Almanza
Credential
PPCNP-BC, MSN, AE-C
Sex
Female
Sole proprietor
No
Enumeration date
Dec 22, 2006
Certification date
Apr 1, 2021
Last updated
Apr 1, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsTA151924MIYes

Practice location

1903 Wilkins St
Detroit, MI 48207-2112

Phone 313-833-1100 · Fax 313-832-5531

Mailing address

230 E Boston Blvd
Detroit, MI 48202-1321

Phone 313-287-0123

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