NPI 1073290409

Tatiana Matthews

Practitioner Nurse's Aide Detroit, MI

Practice location

Address: 15491 Heyden St, Detroit, MI 48223-1746
Phone: (313) 618-3502

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence 0317202329043 (MI)

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Registry record

NPI: 1073290409
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jun 2023
Record last updated: 28 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.