Individual provider · Type 1 NPI
Angela Tashtanov, FNP
Family Nurse Practitioner · Lansing, MI
NPI number
1255037883
Active
Practice location
1215 E Michigan Ave
Lansing, MI 48912-1896
Mailing address
6621 Brassie Shot Rd
East Lansing, MI 48823-9632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704307056 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1255037883
Angela Tashtanov, FNP's National Provider Identifier is 1255037883, issued on Feb 6, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lansing, MI. The record was last updated on Feb 6, 2023.