Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Tanisha Burks

Individual provider Personal Care Attendant · NPI 1750100509

Mary Tanisha Burks is a Personal Care Attendant in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2024

Practice location Address checks out

12854 Hickory St
Detroit, MI 48205-3412
Phone: (313) 782-6631
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X · Licence B620587785544 (MI)

Record details

NPI number1750100509
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 8, 2024
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024

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