Tackett, Paulina
Tackett, Paulina is an sole proprietor health care provider with primary practice located at 39363 Owendale Dr , Sterling Heights MI 48310-2569. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Tackett, Paulina can be contacted via phone (586) 883-2905.Contact Information
Primary practice address
39363 Owendale Dr
Sterling Heights MI 48310-2569
Phone: (586) 883-2905
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 4704338150 | Michigan |
| Nursing Service Providers / Registered Nurse | 163W00000X | 4704338150 | Michigan |
Profile Details
| NPI number | 1780256719 |
|---|---|
| LBN Legal business name | Tackett, Paulina |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2021 |
| Last updated | Nov 20th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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