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

Theresa Tanis

Individual provider Licensed Practical Nurse · NPI 1831038447

Theresa Tanis is a Licensed Practical Nurse in Caledonia, Michigan. Licensed in Michigan. Registered with an NPI since 2026.

Licensed in
MI
In the registry since
2026

Practice location Address checks out

7220 Crystal Stone Dr SE
Caledonia, MI 49316-7742
Phone: (616) 427-0589
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703092378 (MI)

Record details

NPI number1831038447
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 27, 2026
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026

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