Mtt Fnp LLC
NPI #1225626948 in New Boston, Michigan
Provider Information
- NPI Number
- 1225626948
- Entity Type
- Organization
- Organization Name
- Mtt Fnp LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jan 7, 2021
- Last Updated
- Jan 7, 2021
Practice Location
- Address
- 25140 AUSTIN DR
- City
- New Boston
- State
- Michigan
- ZIP Code
- 48164-8907
- Phone
- (313) 461-5780
Authorized Official
- Name
- MOYA TARA TALLEY, FNP
- Title
- ADMIN
- Phone
- (313) 461-5780
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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