1. Home
  2. Directory
  3. Michigan
  4. Detroit
  5. Nurse Practitioner
  6. NPI Profile

NUTRENA TATE CNP
NPI 1003936832
Nurse Practitioner - Pediatrics in Detroit, MI

Active since March 29, 2007
3901 BEAUBIEN ST, DETROIT, MI 48201(313) 745-5437 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nutrena Tate Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NUTRENA TATE CNP (NPI 1003936832) is an individual pediatrics provider in Detroit, Michigan, licensed in Michigan (4704209389) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1003936832
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameNUTRENA TATECredential: CNP
Location Address3901 BEAUBIEN STDetroit, MI 48201-2119
Mailing Address3901 Beaubien 5th Floor Carls BldgDetroit, MI 48201 · (313) 745-4000
Phone(313) 745-5437
Sole ProprietorNo
Enumeration DateMarch 29, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1003936832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MI · 4704209389
3901 BEAUBIEN ST, Detroit, MI 48201
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAROLINA MAKSIMOWSKI
Pediatrics (Pediatric Emergency Medicine)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5260
DR. RUPA THACKER M.D
Pediatrics
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5533
SYBRENA EVANS
Physician Assistant (Surgical)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 833-4490
JOSHUA KIM DO
Pediatrics
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5870
HANNAH L MORELLO MSN, RN
Nurse Practitioner (Pediatrics)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (543) 731-3745
ERIC MARC ESHMAN PHARM.D.
Pharmacist
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 966-0414
KELLY HOLZHAUSEN
Pharmacist
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (734) 552-5323
KIMBERLY DAWN ROOD CPNP
Nurse Practitioner (Pediatrics)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5750

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nutrena Tate's NPI number?

The NPI number for Nutrena Tate is 1003936832. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Nutrena Tate located?

Nutrena Tate practices at 3901 Beaubien St, Detroit, MI 48201. The listed phone number is (313) 745-5437.

What is Nutrena Tate's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Nutrena Tate was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.