Tavita Godinez
Registered Nurse in Ann Arbor, MI. Individual provider (NPI-1).
NPI number1932802147
StatusActive
Last updated in NPPESMar 24, 2023
Details
- NPI
- 1932802147
- Entity type
- Individual (NPI-1)
- Name
- Tavita Godinez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2023
- Certification date
- Mar 24, 2023
- Last updated
- Mar 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 4704355319 | MI | Yes |
Practice location
2215 Fuller RdAnn Arbor, MI 48105-2303
Phone 734-769-7100
Mailing address
23211 Middlebelt RdFarmington Hills, MI 48336-3642
Phone 313-405-5405
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