Individual provider · Type 1 NPI
Leah Ann Tatasciore, RN PHCNS-BC CBIS
General Practice Registered Nurse · Traverse City, MI
NPI number
1306376967
Active
Practice location
1501 Cass St Ste C
Traverse City, MI 49684-4157
Fax (231) 929-0048
Other practice locations
- 3205 Supply Rd, Traverse City, MI 49696-9486 · (231) 935-1070
- 3255 Mahoney Dr, Traverse City, MI 49696-9187 · (231) 935-1070
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 4704242915 (MI) |
General Practice Registered Nurse: Definition to come...
Another provider at this address
Other general practice registered nurse providers in Traverse City
About NPI 1306376967
Leah Ann Tatasciore, RN PHCNS-BC CBIS's National Provider Identifier is 1306376967, issued on Jun 15, 2017. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Traverse City, MI. The record was last updated on Jul 21, 2022.