Healthcare Provider Details

I. General information

NPI: 1760293955
Provider Name (Legal Business Name): TRESA ALANIZ FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2025
Last Update Date: 03/14/2026
Certification Date: 03/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9488 BRISTOL RD
SWARTZ CREEK MI
48473-8592
US

IV. Provider business mailing address

9488 BRISTOL RD
SWARTZ CREEK MI
48473-8592
US

V. Phone/Fax

Practice location:
  • Phone: 810-223-1605
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704375231
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: