Tana Lindow, LPN

Individual provider Active NPI Licensed Practical Nurse · Attica, MI

NPI 1619362829 · NPPES record last updated Apr 3, 2015

Key facts

NPI
1619362829
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
4703113434 (MI)
Practice address
2311 Coachwood Dr
Attica, MI 48412-9002
Phone
(810) 258-0025
NPI assigned
Apr 3, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4703113434MIMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 4703113434 MI Yes

Addresses

Primary practice location

2311 Coachwood Dr
Attica, MI 48412-9002

Mailing address

2311 Coachwood Dr
Attica, MI 48412-9002
Phone (810) 258-0025

Other providers in Attica, MI

All providers in Attica, MI · Licensed Practical Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.