Tania Isabel Caballero Jimenez BCSN,MSN, ACNP- BC

NPI 1225345820 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1225345820
Gender Female
Enumeration Date 09/03/2010
Last Updated 06/28/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
2421 MONROE ST STE 201
DEARBORN MI, 48124-3043, US
Phone (313) 562-4100
Fax
Business Location
15825 GODDARD RD APT 102
SOUTHGATE MI, 48195-4530, US
Phone (248) 798-0533
Fax
Toxanomy
Taxonomy Code 363LA2100X
License State Michigan
License Number 4704247441
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According to our database, Ms. Tania Isabel Caballero Jimenez BCSN,MSN, ACNP- BC NPI is 1225345820, taxonomy code is 363LA2100X and license number is 4704247441, license state is located at Michigan. Tania Isabel Caballero Jimenez BCSN,MSN, ACNP- BC physically located at 2421 Monroe St Ste 201, Dearborn MI, 48124-3043. NPI Number Tania Isabel Caballero Jimenez BCSN,MSN, ACNP- BC has the Individual type.

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1225345820 NPI number is provided on an as is basis without warranty of any kind. 1225345820 is maintained by the National Plan & Provider Enumeration System. The contents of Tania Isabel Caballero Jimenez BCSN,MSN, ACNP- BC are for informational purposes only.