MTT FNP LLC NPI 1225626948

NPI Information

NPI: 1225626948
Provider Name: MTT FNP LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
25140 AUSTIN DR
NEW BOSTON, MI
ZIP 48164
Phone: (313) 461-5780
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MTT FNP LLC is a family nurse practitioner in New Boston, MI. MTT FNP LLC NPI is 1225626948. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

25140 AUSTIN DR
NEW BOSTON, MI
ZIP 48164-907
Phone: (313) 461-5780

The provider's authorized official is Moya Tara Talley .
The authorized official title is Admin and has the following contact phone number (313) 461-5780.

The enumeration date for this NPI number is 1/7/2021 and was last updated on 1/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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