ANGELA TASHTANOV FNP - NPI 1255037883 - Nurse Practitioner in Lansing, MI

Q: What is Angela Tashtanov's NPI number?

The NPI number for Angela Tashtanov is 1255037883. It was assigned to this individual provider in the NPPES registry on February 6, 2023.

Q: What is Angela Tashtanov's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Angela Tashtanov was last updated on February 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Angela Tashtanov Fnp NPPES

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

ANGELA TASHTANOV FNP (NPI 1255037883) is an individual family provider in Lansing, Michigan, licensed in Michigan (4704307056) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1255037883

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANGELA TASHTANOVCredential: FNP

Location Address1215 E MICHIGAN AVELansing, MI 48912-1896

Mailing Address6621 Brassie Shot RdEast Lansing, MI 48823-9632 · (517) 512-1141

Phone(517) 364-2273

Sole ProprietorNo

Enumeration DateFebruary 6, 2023

NPPES CertifiedFebruary 5, 2023

✔ NPI 1255037883 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

License✔ Licensed in MI · 4704307056

1215 E MICHIGAN AVE, Lansing, MI 48912

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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.

DANIEL FRANCIS BOUCHARD D.O.

Family Medicine

1215 E MICHIGAN AVE, OSTEOPATHIC INTERNSHIP SPARROW HOSPITAL
LANSING, MI 48912

Ingham County (231) 955-3360

DR. JESSICA FROST MD

Obstetrics & Gynecology