| Theresa Tanis, | |
|
7220 Crystal Stone Dr Se, Caledonia, MI 49316-7742 | |
| (616) 427-0589 | |
| Not Available |
| Full Name | Theresa Tanis |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 7220 Crystal Stone Dr Se, Caledonia, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831038447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703092378 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Tanis, 7220 Crystal Stone Dr Se, Caledonia, MI 49316-7742 Ph: (616) 427-0589 | Theresa Tanis, 7220 Crystal Stone Dr Se, Caledonia, MI 49316-7742 Ph: (616) 427-0589 |
Larissa White, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3644 Cobblefield Cir Se Unit 5, Caledonia, MI 49316 Phone: 989-252-4830 | |
Gurleenjit Kaur, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1678 Sunny Glen Dr Se, Caledonia, MI 49316 Phone: 616-856-3071 |