Individual provider · Type 1 NPI

Donna Tactac, RN

Psychiatric/Mental Health Registered Nurse · Clinton Township, MI

NPI number 1740496579 Active

Practice location

16200 19 Mile Rd
Clinton Township, MI 48038-1103

Fax (586) 263-8731

Mailing address

14570 Island Dr
Sterling Heights, MI 48313-2212

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X4704188742 (MI)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1740496579

Donna Tactac, RN's National Provider Identifier is 1740496579, issued on May 16, 2007. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Clinton Township, MI. The record was last updated on Jul 8, 2007.