Provider Demographics
NPI:1730250135
Name:TALAREK, JOANNE MARIE (RN, MSN, C-ANP)
Entity type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:MARIE
Last Name:TALAREK
Suffix:
Gender:F
Credentials:RN, MSN, C-ANP
Other - Prefix:
Other - First Name:JOANNE
Other - Middle Name:MARIE
Other - Last Name:MESSINK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:39595 W 10 MILE RD
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-2948
Mailing Address - Country:US
Mailing Address - Phone:248-476-6980
Mailing Address - Fax:248-476-7462
Practice Address - Street 1:164 MCLEAN
Practice Address - Street 2:
Practice Address - City:BRUCE TWP
Practice Address - State:MI
Practice Address - Zip Code:48065-4919
Practice Address - Country:US
Practice Address - Phone:586-336-3467
Practice Address - Fax:586-336-3574
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704104615363LA2200X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health