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Contact Information

MOIRA A TANNENBAUM, C.N.M., R.N.
3185 OAKWOOD ST
ANN ARBOR, MI48104-6667
 Phone: 734-975-1402
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Lactation Consultant

163WL0100X
 

Neonatal, Low-Risk

163WN0003X
Indicates primary specialty

NPI Profile & details for MOIRA A TANNENBAUM · (Female)

NPI # 1467789990
Status Active
Credentials C.N.M., R.N.
Entity Individual
Enumeration date 11/04/2009
Last updated 08/03/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704216874
  • WV Medicaid 3810025733
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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