Judy Ann Taber-tanis, FNP, BC | |
204 W Main St, Fremont, MI 49412-1181 | |
(231) 924-1800 | |
Not Available |
Full Name | Judy Ann Taber-tanis |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 204 W Main St, Fremont, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487905360 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704197858 (Michigan) | Primary |
Entity Name | Spectrum Health Primary Care Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
Mailing Address | Practice Location Address |
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Judy Ann Taber-tanis, FNP, BC 100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560 Ph: () - | Judy Ann Taber-tanis, FNP, BC 204 W Main St, Fremont, MI 49412-1181 Ph: (231) 924-1800 |
Joni Lynn Erlewein, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 230 W Oak St, Fremont, MI 49412 Phone: 231-924-1305 | |
Tressa Kellogg, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 212 S Sullivan Ave, Fremont, MI 49412 Phone: 231-924-3300 | |
Mr. Alan L Nieboer, GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 204 W Main St, Fremont, MI 49412 Phone: 231-924-1800 Fax: 231-924-1810 | |
Miss Aaliyah Hayat Seifullah, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 212 S Sullivan Ave, Fremont, MI 49412 Phone: 866-270-4203 | |
James J. Mead, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 230 W Oak St, Suite 201, Fremont, MI 49412 Phone: 231-924-4200 Fax: 231-924-2001 | |
Jennifer Renee Rigg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 212 S Sullivan Ave, Fremont, MI 49412 Phone: 616-391-3139 Fax: 616-391-3044 | |
Suzanne Ball, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 204 W Main St, Fremont, MI 49412 Phone: 231-924-1800 |