Ross E Tisron in Kalamazoo - Nurse Practitioner
Ross E Tisron - NPI 1447204896
Ross E Tisron is a Nurse Practitioner in Kalamazoo, Michigan. Ross E Tisron practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Ross E Tisron is 1447204896. The last update date is 2023-03-07.
Ross E Tisron's current location address is 200 N Park St, Kalamazoo, Michigan. You can contact this provider via phone number 2693822500 and fax number 2693737478. The mailing address for Ross E Tisron is 200 N Park St, Kalamazoo, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ross E Tisron |
|---|---|
| Address | 200 N Park St, Kalamazoo, Michigan |
| Phone Number | 2693822500 |
| Fax Number | 2693737478 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1447204896 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 200 N Park St |
|---|---|
| City | Kalamazoo |
| State | Michigan (MI) |
| Post Code | 490073731 |
| Phone Number | 2693822500 |
| Fax Number | 2693737478 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 4704162218 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4868770 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ross E Tisron by the Centers for Medicare & Medicaid Services?
The Ross E Tisron has been issued the NPI (National Provider Identifier) 1447204896 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Ross E Tisron?
The Ross E Tisron is physically situated at 200 N Park St, in the city of Kalamazoo, state of MI, with the postal code 490073731.
What is the area of specialization for Ross E Tisron, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ross E Tisron is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1447204896 to Ross E Tisron?
The Centers for Medicare & Medicaid Services assigned the 1447204896 to Ross E Tisron on 2006-05-20.
As of what date was the information regarding Ross E Tisron, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ross E Tisron, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-07.