Individual provider · Type 1 NPI
Theresa Tanis
Licensed Practical Nurse · Caledonia, MI
NPI number
1831038447
Active
Practice location
7220 Crystal Stone Dr SE
Caledonia, MI 49316-7742
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 4703092378 (MI) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Other licensed practical nurse providers in Caledonia
About NPI 1831038447
Theresa Tanis's National Provider Identifier is 1831038447, issued on Mar 27, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Caledonia, MI. The record was last updated on Mar 27, 2026.