Tynise L Penn (NPI# 1073841011, PAC ID# 8921140757) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1073841011 |
| PAC ID by PECOS | 8921140757 |
| Professional Enrollment ID | I20100116000252 |
| Full Name | Tynise L Penn |
| Organization Legal Name | CROSSING PATHS, P.C. |
| Address |
50258 Van Dyke Ave Suite A Shelby Township MI 48317-1374 |
| Phone Number | 5868844714 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0345517579 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 50258 Van Dyke Ave, Suite A, Shelby Township, MI 48317-1374 | 5868844714 | CROSSING PATHS, P.C. |
| Organization Legal Name | CROSSING PATHS, P.C. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa S Carafelli | Nurse Practitioner | Crossing Paths, P.C. | 50258 Van Dyke Ave, Suite A, Shelby Township, MI 48317-1374 |
| Kelly M Danielson | Clinical Social Worker | Crossing Paths, P.C. | 50258 Van Dyke Ave, Suite A, Shelby Township, MI 48317-1374 |
| Sarah Mitchell | Clinical Social Worker | Crossing Paths, P.C. | 50258 Van Dyke Ave, Suite A, Shelby Township, MI 48317-1374 |
| Street Address |
50258 VAN DYKE AVE SUITE A |
| City | SHELBY TOWNSHIP |
| State | MI |
| Zip | 48317-1374 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa S Carafelli | Nurse Practitioner | Crossing Paths, P.C. | 50258 Van Dyke Ave, Suite A, Shelby Township, MI 48317-1374 |
| Kelly M Danielson | Clinical Social Worker | Crossing Paths, P.C. | 50258 Van Dyke Ave, Suite A, Shelby Township, MI 48317-1374 |
| Sarah Mitchell | Clinical Social Worker | Crossing Paths, P.C. | 50258 Van Dyke Ave, Suite A, Shelby Township, MI 48317-1374 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith Brian Tom | Family Medicine | 49221 Van Dyke Ave, Shelby Township, MI 48317-1336 | |
| Chad R Stencel | Family Medicine | Alliance Health Professionals Pllc | 49310 Van Dyke Ave, Shelby Township, MI 48317-1337 |
| Jessica Elizabeth Krol | Family Medicine | Alliance Health Professionals Pllc | 49310 Van Dyke Ave, Shelby Township, MI 48317-1337 |
| Robert W Diegel | Chiropractic | 49780 Van Dyke Ave, Shelby Township, MI 48317-1343 | |
| Scott Gordon Mcleod | Chiropractic | 48073 Van Dyke Ave, Shelby Township, MI 48317-3258 | |
| Danna Haba | Optometry | 48189 Van Dyke Ave, Shelby Township, MI 48317-3268 | |
| Keith J Guthrie | Chiropractic | 8187 Rhode Dr A, Shelby Township, MI 48317-3279 | |
| Scott E Kaczmar | Chiropractic | 47950 Van Dyke Ave, Shelby Twp, MI 48317-3283 | |
| William S Goldstein | Ophthalmology | 47670 Van Dyke Ave, Shelby Township, MI 48317-3302 | |
| Gary P Johnson | Chiropractic | 47197 Van Dyke Ave, Shelby Township, MI 48317-3359 | |
| Find all physicians in zip 48317 | |||
| City | SHELBY TOWNSHIP |
| Zip Code | 48317 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SHELBY TOWNSHIP + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tynise L Penn.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.