Individual provider · Type 1 NPI
Nutrena Tate, CNP
Pediatric Nurse Practitioner · Detroit, MI
NPI number
1003936832
Active
Practice location
3901 Beaubien St
Detroit, MI 48201-2119
Mailing address
3901 Beaubien 5th Floor Carls Bldg
Detroit, MI 48201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 4704209389 (MI) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1003936832
Nutrena Tate, CNP's National Provider Identifier is 1003936832, issued on Mar 29, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2007.