MR. ACE JAMES TACDERAS NP NPI 1447544176

NPI Information

NPI: 1447544176
Provider Name: MR. ACE JAMES TACDERAS, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
17700 23 MILE RD
MACOMB, MI
ZIP 48044
Phone: (586) 868-9120
Get Directions

MR. Ace James Tacderas, NP is an adult health nurse practitioner in Macomb, MI. MR. Ace James Tacderas, NP NPI is 1447544176. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17700 23 MILE RD
MACOMB, MI
ZIP 48044-154
Phone: (586) 868-9120
Fax: (586) 868-9136

The NPI 1447544176 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/28/2011 and was last updated on 11/12/2015.

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	363LA2200X	Nurse Practitioner	Adult Health	4704234922	MICHIGAN	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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