Heather Tack, NP
NPI #1023301595 in Northville, Michigan
Provider Information
- NPI Number
- 1023301595
- Entity Type
- Individual
- Name
- Heather Tack, NP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Credential
- NP
- Enumeration Date
- May 17, 2011
- Last Updated
- Apr 19, 2013
Practice Location
- Address
- 15474 HAGGERTY RD
- City
- Northville
- State
- Michigan
- ZIP Code
- 48170-0844
- Phone
- (248) 615-0889
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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