| Tena Payton-vance | |
|
39079 Buckingham Dr Romulus MI 48174-6325 | |
| (734) 892-4744 | |
| Not Available |
| Full Name | Tena Payton-vance |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 39079 Buckingham Dr, Romulus, Michigan |
| Authorized Official Name and Position | Tena Payton-vance (NP) |
| Authorized Official Contact | 7348924744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tena Payton-vance 39079 Buckingham Dr Romulus MI 48174-6325 Ph: () - | Tena Payton-vance 39079 Buckingham Dr Romulus MI 48174-6325 Ph: (734) 892-4744 |
| NPI Number | 1386264687 |
|---|---|
| Provider Enumeration Date | 04/16/2020 |
| Last Update Date | 04/16/2020 |
| Certification Date | 04/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386264687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
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