MEDICARE: MS. TINA MARCIA ALMANZA PPCNP-BC, MSN, AE-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	TA151924	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508921388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TINA MARCIA ALMANZA PPCNP-BC, MSN, AE-C

Provider Business Mailing Address
First Line	:	230 E BOSTON BLVD
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48202-1321
Country	:	US
Telephone Number	:	313-287-0123
Fax Number	:

Provider Business Practice Location Address
First Line	:	1903 WILKINS ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48207-2112
Country	:	US
Telephone Number	:	313-833-1100
Fax Number	:	313-832-5531

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2006
Last Update Date	:	04/01/2021

Similar Medicare Providers

1952642282 — KRISTIN LYNNE ROSALES LMSW
Practice Location Address:

1903 WILKINS ST
DETROIT, MI
48207-2112

Practice Phone: 313-833-1100
Practice Fax:

1710097019 — MS. CONNIE L MITCHELL MD
Practice Location Address:

5525 GREENWAY ST , UNIT B-2
DETROIT, MI
48204-2112

Practice Phone: 313-701-1187
Practice Fax: 313-931-9113

1255410023 — POSITIVE IMAGES
Practice Location Address:

13340 E WARREN AVE
DETROIT, MI
48215-2112

Practice Phone: 313-822-6940
Practice Fax: 313-822-6946

1629157474 — MAISHA KENYATTA MSW
Practice Location Address:

13340 E WARREN AVE
DETROIT, MI
48215-2112

Practice Phone: 313-822-6940
Practice Fax: 313-822-6940

1144346131 — MISS TARA S TYUS FSAC
Practice Location Address:

13340 E WARREN AVE
DETROIT, MI
48215-2112

Practice Phone: 313-822-6940
Practice Fax: 313-822-6946

1922125400 — MR. ALONZO FULTON HOVER CAC1
Practice Location Address:

13340 E WARREN AVE
DETROIT, MI
48215-2112

Practice Phone: 313-822-6940
Practice Fax: 313-822-6946

Directions to “ MS. TINA MARCIA ALMANZA PPCNP-BC, MSN, AE-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.