Individual provider · Type 1 NPI
Emmanuel Yabut Tolentino
Gerontology Nurse Practitioner · Detroit, MI
NPI number
1376934158
Active
Practice location
2799 W Grand Blvd
Detroit, MI 48202-2689
Mailing address
1 Ford Pl Ste 3A
Detroit, MI 48202-3450
Other practice locations
- 27351 Dequindre Rd, Madison Heights, MI 48071-3487 · (248) 967-7000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 4704285012 (MI) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 4704285012 (MI) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1376934158
Emmanuel Yabut Tolentino's National Provider Identifier is 1376934158, issued on Feb 14, 2015. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Detroit, MI. The record was last updated on Feb 16, 2026.