TAMORA VANWASSHNOVA


Address: 212 S Main St Ste A, Brooklyn, MI 49230-9114
Phone: 5175928033

TAMORA VANWASSHNOVA (NPI# 1568094340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568094340
Entity Type Individual
Full Name TAMORA VANWASSHNOVA
Credential FNP
Practice Address 212 S Main St Ste A
Brooklyn
MI 49230-9114
Mailing Address 24 Frank Lloyd Wright Dr Lbby J2000
Ann Arbor
MI 48105-9484
Practice Telephone 5175928033
Practice Fax Number 5175923959
Mailing Telephone 7347476766
Enumeration Date 2020-02-10
Last Update Date 2020-03-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
4704206479 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 212 S MAIN ST STE A
City BROOKLYN
State MI
Zip Code 49230-9114

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821240128 Nicholas Maximillian Kielhorn Family Medicine 212 S Main St Ste A, Brooklyn, MI 49230-9114 2008-10-17
1790343374 Iha Health Services Corporation Internal Medicine 212 S Main St Ste A, Brooklyn, MI 49230-9114 2019-05-30
1376100073 Iha Health Service Corporation Family Medicine 212 S Main St Ste A, Brooklyn, MI 49230-9114 2019-05-29
1376075515 Vanessa Stebelton Nurse Practitioner 212 S Main St Ste A, Brooklyn, MI 49230-9114 2017-03-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073733358 Troy D. Burk Chiropractor 453 Marshall St., Brooklyn, MI 49230 2007-04-27
1104941061 All Care Inc. Home Health 11401 M-50, Brooklyn, MI 49230 2007-03-20
1518056365 Lj Gallagher Psy D and Associates Pllc Psychologist 451 Marshall St, Brooklyn, MI 49230 2006-10-12
1750304291 Traci Breniser Wilson Psychologist 225 South Main St, Suite B, Brooklyn, MI 49230 2006-07-25
1700806064 Guy Young Cheng Chiropractor 101 Sherman St, Brooklyn, MI 49230 2006-07-20
1710317193 Michelle Mcbean Counselor 141 N. Main St., Suite B., Brooklyn, MI 49230 2013-11-20
1619155058 Leonard Joseph Gallagher II Psychologist 451 Marshall St, Brooklyn, MI 49230 2008-02-07
1821189648 Susan Gruber Physical Therapist 250 S Main St, Brooklyn, MI 49230 2006-09-27
1871508309 Region II Commission On Services To The Aging Case Management 102 N. Main St., Brooklyn, MI 49230-0189 2006-07-31
1437244019 Steven Ray Hoekman Dentist 120 Marshall St, Box 657, Brooklyn, MI 49230-1234 2006-10-03
Find all providers in zip 49230

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1073114112 Karen Liu Nurse Practitioner 154 Bay 35th St, Brooklyn, NY 11214-5308 2020-11-04
1104427525 Jeanine R Williams Nurse Practitioner 4213 Foster Ave, Brooklyn, NY 11203-5711 2020-11-03
1710588389 Patricia Ayozie Nurse Practitioner 587 E 86th St Fl 2, Brooklyn, NY 11236-3226 2020-11-02
1598363657 Anna Kleyner Nurse Practitioner 2730 Neptune Ave, Brooklyn, NY 11224-2060 2020-10-12
1861090193 Cheyenne Alexia James Nurse Practitioner 358 Halsey St, Brooklyn, NY 11216-2412 2020-10-09
1821605213 Dudmire Belizaire Nurse Practitioner 1267 Ryder St, Brooklyn, NY 11234-2816 2020-09-29
1003423716 Iris Yuen Nurse Practitioner 8609 18th Ave, Brooklyn, NY 11214-3701 2020-09-26
1144832833 Julia Kogan Nurse Practitioner 2544 E 23rd St, Brooklyn, NY 11235-2506 2020-08-23
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Competitor

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City BROOKLYN
Zip Code 49230

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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