Tatyanna Coleman, CNP | |
261 Mack Ave, Detroit, MI 48201-2417 | |
(313) 745-1203 | |
Not Available |
Full Name | Tatyanna Coleman |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 23 Years |
Location | 261 Mack Ave, Detroit, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427178250 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 4704182339 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Mercy Oakland | Pontiac, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Iha Ooma Primary Llc | 7012316664 | 34 |
Entity Name | Iha Ooma Primary Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245815984 PECOS PAC ID: 7012316664 Enrollment ID: O20210601002563 |
Mailing Address | Practice Location Address |
---|---|
Tatyanna Coleman, CNP 3990 John R 2-hudson Rm 2910, Detroit, MI 48201 Ph: (313) 966-2327 | Tatyanna Coleman, CNP 261 Mack Ave, Detroit, MI 48201-2417 Ph: (313) 745-1203 |
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Mikayla Spica, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
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Elena M Darby, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4921 Fax: 313-343-7091 | |
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