NPI 1245607019

Tamisha Tavolacci, RN

Practitioner Registered Nurse Berkley, MI

Practice location

Address: 2766 11 Mile Rd, Berkley, MI 48072-3033
Phone: (248) 542-2424
Mailing address: 33315 Vista Way, Fraser, MI 48026-4324

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 4704306069 (MI)

Other Registered Nurse providers in Michigan →

Registry record

NPI: 1245607019
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Aug 2015
Record last updated: 28 Aug 2015

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.