Individual provider · Type 1 NPI
Sheri Lee Tack, NP
Family Nurse Practitioner · Grand Rapids, MI
NPI number
1740633700
Active
Practice location
4069 Lake Dr SE Ste 312
Grand Rapids, MI 49546-8816
Mailing address
100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704253328 (MI) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1740633700
Sheri Lee Tack, NP's National Provider Identifier is 1740633700, issued on Jul 14, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 18, 2024.