IndividualActive
Cassandra Tavtigian
NPI 1164090106 · Advanced Practice Midwife · Dearborn, MI
Provider details
- NPI number
- 1164090106
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 4704314322 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone: (313) 593-7000
Approximate (ZIP-level) locationGet directions
Mailing address
26901 Beaumont Blvd Ste 3d
Southfield, MI 48033-3849
Additional practice locations (1)
- 5557 Cass AveDetroit, MI 48202-3615Phone: (313) 577-4082
Registry dates
- Enumerated
- 2021-06-16
- Last updated
- 2025-11-21
- Certified
- 2025-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.