Doctor Name: | TANYA LYNN ROPES |
NPI Number: | 1033362827 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 4704243889 |
Business Practice Address: | 15055 22 Mile Rd Ste 3 Shelby Twp, MI - 483154401 |
Business Phone Number: | 5865667100 |
Business Fax Number: | 5865668088 |
Mailing Address: | 21553 30 Mile Rd, RAY TWP |
State: | MI |
Postal Code: | 480961914 |
Phone Number: | 5862010574 |
Fax Number: | 5867497229 |
NPI Enumeration Date: | 10/24/2008 |
NPI Last Update Date: | 08/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 4704243889 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |