| Tynikia Bostic, PMHNP-BC | |
| 
					27300 La Rose Dr, Warren, MI 48093-4423  | |
| (586) 229-5571 | |
| Not Available | 
| Full Name | Tynikia Bostic | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 27300 La Rose Dr, Warren, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1972917730 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703113511 (Michigan) | Secondary | 
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4704336140 (Michigan) | Primary | 
| Entity Name | Development Centers Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1326135047 PECOS PAC ID: 0547254443 Enrollment ID: O20040413001246  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tynikia Bostic, PMHNP-BC 27300 La Rose Dr, Warren, MI 48093-4423 Ph: (586) 229-5571  | Tynikia Bostic, PMHNP-BC 27300 La Rose Dr, Warren, MI 48093-4423 Ph: (586) 229-5571  | 
Sharice Ratia Jhons, MSN, RN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27500 Dequindre Rd, Warren, MI 48092 Phone: 586-764-3465  | |
Rowena Callo Teodoro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27560 Hoover Rd., Warren, MI 48093 Phone: 586-757-6400 Fax: 586-757-8400  | |
Mrs. Lauren Ashley Zipay, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5000  | |
Olga Dmitryuk,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11480 E 13 Mile Rd, Warren, MI 48093 Phone: 586-216-9253  | |
Alexander Cole-selvaggio, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27101 Schoenherr Rd, Warren, MI 48088 Phone: 586-758-5800 Fax: 586-758-5841  | |
Jenny Dessinger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27560 Hoover Rd, Warren, MI 48093 Phone: 586-757-6400  | |
Randon Carl Jenkins,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4669 E 8 Mile Rd, Warren, MI 48091 Phone: 313-416-6262  |