Individual provider · NPI-1
Taniesha Warren
Registered Nurse, Nurse Massage Therapist (NMT) · West Bloomfield, MI
NPI number1861365736
StatusActive
Last updated in NPPESSep 26, 2025
Details
- NPI
- 1861365736
- Entity type
- Individual (NPI-1)
- Name
- Taniesha Warren
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 26, 2025
- Certification date
- Sep 26, 2025
- Last updated
- Sep 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WM1400X | Registered Nurse, Nurse Massage Therapist (NMT) | 4704310007 | MI | Yes |
Practice location
6960 Orchard Lake Rd Ste 330West Bloomfield, MI 48322-4584
Phone 248-226-0400
Mailing address
6960 Orchard Lake Rd Ste 330West Bloomfield, MI 48322-4584
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