Individual provider · Type 1 NPI

Tanya L. Locke

Primary Care Nurse Practitioner · Detroit, MI

NPI number 1346848827 Active

Practice location

22101 Moross Rd
Detroit, MI 48236-2148

Mailing address

2800 Livernois Rd Ste 500
Troy, MI 48083-1219

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X4704309664 (MI)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1346848827

Tanya L. Locke's National Provider Identifier is 1346848827, issued on Oct 15, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Detroit, MI. The record was last updated on Oct 16, 2020.