Tamora Vanwasshnova, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704206479 Issued in MI

Practice address

13697 15 Mile Rd
Marshall, MI 49068-8533

Phone

(269) 789-4905

NPI assigned

Feb 10, 2020

Last updated

May 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1568094340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DR LBBY J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059484",
            "telephone_number": "734-747-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13697 15 MILE RD",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490688533",
            "telephone_number": "269-789-4905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 S Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "MI",
            "postal_code": "492309114",
            "country_code": "US",
            "telephone_number": "517-592-8033",
            "fax_number": "517-592-3959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANWASSHNOVA",
        "first_name": "TAMORA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704206479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn M Van Gieson-Culver, LLP
• Susanna Van Lente
• Craig M. Van Zyl, D.D.S.
• Suzanne E Vandenbrink-Webb, MD
• Douglas Alan Vandermeulen, DDS
• Amy Vanzandt, MA, LPC, CAADC
• Aric Vaughn, LMSW
• Vincent Shen MD PLC
• Vituity-Michigan Health Services PC
• Cynthia A Wagner, LLP

• Family Nurse Practitioner in Marshall, MI
• Providers in Marshall, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.