Provider Demographics
NPI:1851585228
Name:TRINGALI, ANITA LOUISE (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:ANITA
Middle Name:LOUISE
Last Name:TRINGALI
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Gender:F
Credentials:NURSE PRACTITIONER
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Mailing Address - Street 1:24840 GRATIOT AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:EASTPOINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48021-3381
Mailing Address - Country:US
Mailing Address - Phone:586-445-2911
Mailing Address - Fax:586-871-2036
Practice Address - Street 1:24840 GRATIOT AVE
Practice Address - Street 2:SUITE C
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021-3381
Practice Address - Country:US
Practice Address - Phone:586-445-2911
Practice Address - Fax:586-871-2036
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2017-04-05
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Provider Licenses
StateLicense IDTaxonomies
MI4704114479363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4704114479OtherSTATE OF MICHIGAN