DEMETRA DILLARD
NPI 1134501398
Licensed Practical Nurse in Detroit, MI

Q: What is Demetra Dillard's NPI number?

The NPI number for Demetra Dillard is 1134501398. It was assigned to this individual provider in the NPPES registry on June 24, 2015.

Q: What is Demetra Dillard's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Demetra Dillard was last updated on June 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 24, 2015

9736 OTSEGO ST, DETROIT, MI 48204(586) 801-9942 Get Directions Write a Review

NPPES record last updated: June 24, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Demetra Dillard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEMETRA DILLARD (NPI 1134501398) is an individual licensed practical nurse in Detroit, Michigan, licensed in Michigan (4703107207) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1134501398

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameDEMETRA DILLARD

Location Address9736 OTSEGO STDetroit, MI 48204-3900

Mailing Address9736 Otsego StDetroit, MI 48204-3900 · (586) 801-9942

Phone(586) 801-9942

Sole ProprietorNo

Enumeration DateJune 24, 2015

✔ NPI 1134501398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in MI · 4703107207

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

9736 OTSEGO ST, Detroit, MI 48204

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Demetra Dillard's NPI number?

The NPI number for Demetra Dillard is 1134501398. It was assigned to this individual provider in the NPPES registry on June 24, 2015.

Where is Demetra Dillard located?

Demetra Dillard practices at 9736 Otsego St, Detroit, MI 48204. The listed phone number is (586) 801-9942.

What is Demetra Dillard's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Demetra Dillard was last updated on June 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.