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

Mrs. Tywanna R Tanner, NURSEPRACTITIONER

Individual provider Pain Clinic/Center · NPI 1518438332

Mrs. Tywanna R Tanner, NURSEPRACTITIONER is a Pain Clinic/Center in Lincoln Park, Michigan. Practices as a sole proprietor and works from 3 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
Specialties on file
2

Practice location Address checks out

1158 Fort St
Lincoln Park, MI 48146-1840
Phone: (313) 989-0124
Show map & directions

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

Additional practice locations (2)

  • 31500 W 13 Mile Rd, Farmington Hills, MI 48334-2172 — (313) 974-9487
  • 31500 W 13 Mile Rd Ste 100, Farmington Hills, MI 48334-2172

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704264238 (MI)
Pain Clinic/Center Taxonomy 261QP3300X

Record details

NPI number1518438332
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedDecember 6, 2018
Last updated in NPPESSeptember 1, 2021
Certification dateSeptember 1, 2021

Other providers in Lincoln Park