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

Mrs. Tamara Lynn Wyscaver Dirven, ACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1780944538

Mrs. Tamara Lynn Wyscaver Dirven, ACNP-BC is a Nurse Practitioner in Detroit, Michigan. Qualified in 2010, 16 years ago. Practices with Vhs Physicians of Michigan, a 217-clinician group and accepts Medicare assignment. Licensed in Georgia and Michigan.

Years since qualifying
16
Licensed in
GA, MI
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

3990 John R St
Detroit, MI 48201-2018
Phone: (313) 993-6023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704193954 (MI)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence RN287474 (GA)

Record details

NPI number1780944538
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP-BC
Sole proprietorNo
NPI enumeratedMay 25, 2012
Last updated in NPPESApril 3, 2024
Certification dateApril 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Vhs Physicians Of Michigan — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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