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MTT FNP LLC
NPI 1225626948
Nurse Practitioner - Family in New Boston, MI

Active since January 07, 2021
25140 AUSTIN DR, NEW BOSTON, MI 48164(313) 461-5780 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mtt Fnp Llc NPPES

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

MTT FNP LLC (NPI 1225626948) is a healthcare organization registered as a family in New Boston, Michigan and active in the NPI registry since January 2021. The organization lists Moya Tara Talley, Admin, as its authorized official.

NPPES Registry Identity

NPI1225626948
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMTT FNP LLC
Location Address25140 AUSTIN DRNew Boston, MI 48164-8907
Mailing Address25140 Austin DrNew Boston, MI 48164-8907 · (313) 461-5780
Phone(313) 461-5780
Organization SubpartNo
Authorized OfficialMoya Tara TalleyAdmin · (313) 461-5780
Enumeration DateJanuary 7, 2021
NPPES CertifiedJanuary 7, 2021
✔ NPI 1225626948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
25140 AUSTIN DR, New Boston, MI 48164
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan.Insurance ›

Other Providers at the Same Location NPPES

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

MRS. MOYA TARA TALLEY NP
Nurse Practitioner (Family)
25140 AUSTIN DR
NEW BOSTON, MI 48164
Wayne County (313) 461-5780

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 Mtt Fnp LLC's NPI number?

The NPI number for Mtt Fnp LLC is 1225626948. It was assigned to this organization in the NPPES registry on January 7, 2021.

Where is Mtt Fnp LLC located?

Mtt Fnp LLC is located at 25140 Austin Dr, New Boston, MI 48164. The listed phone number is (313) 461-5780.

What is Mtt Fnp LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Mtt Fnp LLC accept?

Health plans from Blue Care Network of Michigan list Mtt Fnp LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mtt Fnp LLC was last updated on January 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.