Individual provider · Type 1 NPI

Judy Ann Taber-Tanis, FNP, BC

Family Nurse Practitioner · Fremont, MI

NPI number 1487905360 Active

Practice location

204 W Main St
Fremont, MI 49412-1181

Mailing address

100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704197858 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1487905360

Judy Ann Taber-Tanis, FNP, BC's National Provider Identifier is 1487905360, issued on Oct 2, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fremont, MI. The record was last updated on Mar 1, 2024.