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Tyanna Ashley

Community Health Worker in Burton, MI. Individual provider (NPI-1).

NPI number1962284554
StatusActive
Last updated in NPPESOct 18, 2023

Details

NPI
1962284554
Entity type
Individual (NPI-1)
Name
Tyanna Ashley
Sex
Female
Sole proprietor
No
Enumeration date
Oct 18, 2023
Certification date
Oct 18, 2023
Last updated
Oct 18, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

1173 S Packard Ave
Burton, MI 48509-2311

Phone 810-547-7056

Mailing address

1173 S Packard Ave
Burton, MI 48509-2311

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Community Health Worker providers in Burton, MI

All 181 Community Health Worker providers in Burton · All 757 providers in Burton

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