DONNA TACTAC RN - NPI 1740496579 - Registered Nurse in Clinton Twp, MI

Q: What is the provider's specialty?

The provider's specialty is Registered Nurse with taxonomy code 163WP0808X and a focus in Psychiatric/Mental Health.

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About Donna Tactac Rn NPPES

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

DONNA TACTAC RN (NPI 1740496579) is an individual psychiatric/mental health provider in Clinton Twp, Michigan, licensed in Michigan (4704188742) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1740496579

Entity TypeIndividualFemale

Primary Taxonomy163WP0808X

Provider Legal NameDONNA TACTACCredential: RN

Location Address16200 19 MILE RDClinton Twp, MI 48038-1103

Mailing Address14570 Island DrSterling Heights, MI 48313-2212 · (586) 566-6048 · Fax (586) 263-8696

Phone(586) 263-8696

Fax(586) 263-8731

Sole ProprietorNo

Enumeration DateMay 16, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1740496579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers

Taxonomy Code163WP0808X

License✔ Licensed in MI · 4704188742

16200 19 MILE RD, Clinton Twp, MI 48038

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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.

DR. SHEENA MARIE GORECKI PH.D.

Psychologist (Cognitive & Behavioral)

16200 19 MILE RD
CLINTON TWP, MI 48038

Macomb County (586) 263-8973

STANLEY BRUCE SMART PH.D.

Psychologist

16200 19 MILE RD
CLINTON TWP, MI 48038

Macomb County (586) 263-8700

MARY JOSEPHINE-FRESARD HOLLEBRANDS RN