Individual provider · Type 1 NPI

Tara Valentine

Pediatric Nurse Practitioner · Plymouth, MI

NPI number 1437608965 Active

Practice location

990 W Ann Arbor Trl, Suite 210
Plymouth, MI 48170-6204

Call (734) 455-4600 Map

Fax (734) 455-5637

Mailing address

24 Frank Lloyd Wright Dr, PO Box 0446 Lobby J
Ann Arbor, MI 48105-9484

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	4704270179 (MI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1437608965

Tara Valentine's National Provider Identifier is 1437608965, issued on Sep 26, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Plymouth, MI. The record was last updated on Sep 26, 2016.