Individual provider · Type 1 NPI

Heather Tack, NP

Nurse Practitioner · Northville, MI

NPI number 1023301595 Active

Practice location

15474 Haggerty Rd
Northville, MI 48170-0844

Call (248) 615-0889 Map

Fax (734) 404-5317

Mailing address

901 Mcclintock Dr, Suite 202
Burr Ridge, IL 60527-0844

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704222690 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

5 other providers at this address

Other nurse practitioner providers in Northville

See all in Northville →

About NPI 1023301595

Heather Tack, NP's National Provider Identifier is 1023301595, issued on May 17, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Northville, MI. The record was last updated on Apr 19, 2013.