PAULINA TACKETT

STERLING HEIGHTS, MI
NPI1780256719
Former NamePAULINA FRANZEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704338150)
Additional Taxonomies163W00000X Registered Nurse
(Licence: MI  4704338150)
Enumeration Date2021-07-09
Last Update Date2023-11-20
Business Address
PAULINA TACKETT CRNA
39363 OWENDALE DR
STERLING HEIGHTS, MI 48310-2569
Phone number: 586-883-2905
Mailing Address
PAULINA TACKETT CRNA
4640 SIDNEY ST
SHELBY TOWNSHIP, MI 48317-2955
Phone number: 586-883-2905