Mrs. Tywanna R Tanner
NURSE PRACTITIONER | Nurse Practitioner | 11+ years Exp
1158 Fort St, Lincoln Park
Michigan, 48146-1840
313-989-0124
Mrs. Tywanna R Tanner is a Lincoln Park, Michigan based nurse practitioner with 11 years of experience in Nurse Practitioner. She completed her graduation in 2014. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Tywanna R Tanner is 4704264238 in Michigan. Her current practice location is 1158 Fort St, Lincoln Park. Patients can reach her at 313-989-0124. Mrs. Tywanna R Tanner is NURSE PRACTITIONER with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1518438332.
Mrs. Tywanna R Tanner has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mrs. Tywanna R Tanner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mrs. Tywanna R Tanner |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NURSE PRACTITIONER |
| Experience: | 11+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2014 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1158 Fort St, Lincoln Park,
Michigan, 48146-1840 |
| Phone: | 313-989-0124 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 7012255763 |
| Enrollment ID: | I20190205002380 |
| NPI Number: | 1518438332 |
| NPI Enumeration Date: | 06 Dec, 2018 |
| NPI Last Update On: | 01 Sep, 2021 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Tywanna R Tanner are as mentioned below.
| License Number | Specialization | State | Status | |
| 4704264238 | | Michigan | Primary | |
| Clinic/Center | | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mrs. Tywanna R Tanner is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Transitional Care Services, Llc (6709165954) | 23 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mrs. Tywanna R Tanner
Po Box 1448,
Lincoln Park, Michigan |
| Zip: | 48146-7248 |
| Phone Number: | 313-974-9487 |
Patients can reach Mrs. Tywanna R Tanner at
1158 Fort St, Lincoln Park, Michigan or can
call to book an appointment on 313-989-0124.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.