ELIZABETH DAWN TUCK


Address: 2000 Green Rd Ste 300, Ann Arbor, MI 48105
Phone: 7346866352

ELIZABETH DAWN TUCK (NPI# 1609361807) 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) 1609361807
Entity Type Individual
Full Name ELIZABETH DAWN TUCK
Credential FNP-C
Practice Address 2000 Green Rd Ste 300
Ann Arbor
MI 48105
Mailing Address 2000 Green Rd Ste 300
Ann Arbor
MI 48105-1575
Practice Telephone 7346866352
Mailing Telephone 7346866352
Enumeration Date 2018-06-29
Last Update Date 2019-01-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 4704272712 MI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI LICENSE 4704272712 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
400 Hobart St, Cadillac, MI 496012331 2318767245

Office Location

Street Address 2000 GREEN RD STE 300
City ANN ARBOR
State MI
Zip Code 48105

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174626519 Daniel Arthur Barber Physician Assistant 2000 Green Rd Ste 300, Ann Arbor, MI 48105-1575 2006-09-07
1932695608 Suzanne Elizabeth Groff Nurse Practitioner 2000 Green Rd Ste 300, Ann Arbor, MI 48105-1575 2018-07-06
1295271989 Futurer Pllc Emergency Medicine 2000 Green Rd Ste 300, Ann Arbor, MI 48105-1575 2017-01-18
1508317728 Carenq Telemedicine Solutions, LLP General Practice 2000 Green Rd Ste 300, Ann Arbor, MI 48105-1575 2016-10-24
1487080339 Randa S. Mccall Nurse Practitioner 2000 Green Rd Ste 300, Ann Arbor, MI 48105-1575 2013-09-24
1780942680 Michael David Susalla Emergency Medicine 2000 Green Rd Ste 300, Ann Arbor, MI 48105-1575 2012-04-27
1649591439 Kelly Ann Correa Emergency Medicine 2000 Green Rd Ste 300, Ann Arbor, MI 48105-1575 2010-06-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730728718 Alexander Jendrusina Psychologist Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 2019-12-23
1417515875 Christine Shyh Wang Student in an Organized Health Care Education/Training Program 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 2019-05-31
1013475003 Ryan Wang Physician Assistant 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 2019-03-08
1801366265 Amruta Sonavaria Physical Therapist 4701 East Huron River Drive, Ann Arbor, MI 48105 2018-11-28
1568955730 Alexander Sliwicki Pediatrics 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 2018-06-12
1902398464 Austin Remington Student in an Organized Health Care Education/Training Program 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 2018-05-31
1881191658 Stephen James Hickner Student in an Organized Health Care Education/Training Program St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 2018-04-09
1245681709 Winnie Nhan Internal Medicine 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 2016-06-27
1861857971 Connie Chen Pharmacist 2215 Fuller Road (119), Ann Arbor, MI 48105 2015-12-17
1407241193 Stefan Craciun Emergency Medicine 3484 Ashburnam Rd, Ann Arbor, MI 48105 2015-03-31
Find all providers in zip 48105

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821624685 Francisco Bielinki Jr. Nurse Practitioner 2355 Devonshire Rd, Ann Arbor, MI 48104-2703 2020-03-12
1609335363 Epmg Northern Michigan Pllc Nurse Practitioner 5301 E Huron River Dr Er, Ann Arbor, MI 48106 2019-03-13
1649771668 Julie Elizabeth Cain Nurse Practitioner 1418 Morton Ave, Ann Arbor, MI 48104-4437 2018-02-25
1689190167 Sonam Krichbaum Nurse Practitioner 302 E Liberty St Ste 201, Ann Arbor, MI 48104-2206 2017-08-16
1013438530 Keely Marie Blosh Nurse Practitioner 1500 E Medical Center Dr # 4321, 3rd Floor Cardiovascular Center Recp C, Ann Arbor, MI 48109-5864 2017-07-06
1821538026 Natalya Stokely-hamdan Nurse Practitioner 3410 Ferry St, Ann Arbor, MI 48103-1905 2017-03-07
1295113199 Ji-young Byun Nurse Practitioner 2251 Gemstone Ct, Ann Arbor, MI 48103-8970 2015-05-11
1528303740 Teresa Kathleen Reimer Nurse Practitioner 2301 S Huron Pkwy Ste 2b, Ann Arbor, MI 48104-5133 2012-11-28
1053662981 Andria Scappaticci Hazergian Nurse Practitioner 1500 E Medical Center Dr Bldg 1000312, Ann Arbor, MI 48109-5000 2012-10-02
1114171238 Donna Lee Auer Nurse Practitioner 325 E Eisenhower Plwy, Suite 100, Ann Arbor, MI 48108-5744 2008-11-17
Find all providers in ANN ARBOR

Competitor

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City ANN ARBOR
Zip Code 48105

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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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