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Sheri Lee Tack, NP
Family Nurse Practitioner in Grand Rapids, Michigan
NPI 1740633700

Sheri Lee Tack is a Family Nurse Practitioner based in Grand Rapids, MI and is specialized in Family. Sheri Lee Tack practices in Grand Rapids, MI and has the professional credentials of NP. The NPI Number for Sheri Lee Tack is 1740633700 and holds a License No. 4704253328 (Michigan).

The current practice location address for Sheri Lee Tack is 4069 Lake Dr Se Ste 312, Grand Rapids, MI and can be reached out via phone at 616-267-8700.

Location: 4069 Lake Dr Se Ste 312, Grand Rapids, MI, 49503-2560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740633700
Provider Name
Sheri Lee Tack
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
4069 Lake Dr Se Ste 312, Grand Rapids, MI, 49503-2560
Phone Number
616-267-8700
Fax Number
Provider Enumeration Date
07/14/2016
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
4069 Lake Dr Se Ste 312
City
Grand Rapids
State
Michigan
Zip
49546-8816
Phone Number
616-267-8700
Fax Number
person
Provider Business Mailing Address Details
Address
4069 Lake Dr Se Ste 312
City
Grand Rapids
State
Michigan
Zip
49546-8816
Phone Number
616-267-8700
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4704253328 (Michigan)
Definition
Definition to come...
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