TAMORA VANWASSHNOVA FNP
NPI 1568094340
Nurse Practitioner - Family in Marshall, MI

Active since February 10, 2020
13697 15 MILE RD, MARSHALL, MI 49068(269) 789-4905 Get Directions Write a Review

NPPES record last updated: May 27, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: May 27, 2022, Mar 6, 2020, Feb 10, 2020 (3 updates tracked since 2020).

About Tamora Vanwasshnova Fnp NPPES

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

TAMORA VANWASSHNOVA FNP (NPI 1568094340) is an individual family provider in Marshall, Michigan, licensed in Michigan (4704206479) and active in the NPI registry since February 2020. She maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1568094340
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTAMORA VANWASSHNOVACredential: FNP
Location Address13697 15 MILE RDMarshall, MI 49068-8533
Mailing Address24 Frank Lloyd Wright Dr Lbby J2000Ann Arbor, MI 48105-9484 · (734) 747-6766
Sole ProprietorNo
Enumeration DateFebruary 10, 2020
Last NPPES UpdateMay 27, 20223 updates tracked since enumeration
NPPES CertifiedMay 27, 2022
✔ NPI 1568094340 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 · 4704206479
13697 15 MILE RD, Marshall, MI 49068

Secondary Practice Location 1

Location 1212 S Main St Ste ABrooklyn, MI 49230-9114 · Phone (517) 592-8033 · Fax (517) 592-3959

Other Providers at the Same Location NPPES 10

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

Physical Therapist
13697 15 MILE RD
MARSHALL, MI 49068
Nurse Practitioner (Family)
13697 15 MILE RD
MARSHALL, MI 49068
Occupational Therapist
13697 15 MILE RD
MARSHALL, MI 49068
Physical Therapist
13697 15 MILE RD
MARSHALL, MI 49068
Physical Therapist
13697 15 MILE RD
MARSHALL, MI 49068
Obstetrics & Gynecology
13697 15 MILE RD
MARSHALL, MI 49068
Physical Medicine & Rehabilitation
13697 15 MILE RD, OMG PM&R
MARSHALL, MI 49068
Speech-Language Pathologist
13697 15 MILE RD
MARSHALL, MI 49068

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 Tamora Vanwasshnova's NPI number?

The NPI number for Tamora Vanwasshnova is 1568094340. It was assigned to this individual provider in the NPPES registry on February 10, 2020.

Where is Tamora Vanwasshnova located?

Tamora Vanwasshnova practices at 13697 15 Mile Rd, Marshall, MI 49068. The listed phone number is (269) 789-4905.

What is Tamora Vanwasshnova's specialty?

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

When was this NPI record last updated?

The NPPES record for Tamora Vanwasshnova was last updated on May 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.