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ANJULITA SHABAZZ
NPI 1407233794
Licensed Practical Nurse in Detroit, MI

Active since May 06, 2015
17160 KENTUCKY ST, DETROIT, MI 48221(313) 212-5439 Get Directions Write a Review

NPPES record last updated: May 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anjulita Shabazz NPPES

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

ANJULITA SHABAZZ (NPI 1407233794) is an individual licensed practical nurse in Detroit, Michigan, licensed in Michigan (4703112792) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1407233794
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameANJULITA SHABAZZ
Location Address17160 KENTUCKY STDetroit, MI 48221-2447
Mailing Address17160 Kentucky StDetroit, MI 48221-2447 · (313) 212-5439
Phone(313) 212-5439
Sole ProprietorYes
Enumeration DateMay 6, 2015
✔ NPI 1407233794 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 · 4703112792
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.
17160 KENTUCKY ST, Detroit, MI 48221
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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 Anjulita Shabazz's NPI number?

The NPI number for Anjulita Shabazz is 1407233794. It was assigned to this individual provider in the NPPES registry on May 6, 2015.

Where is Anjulita Shabazz located?

Anjulita Shabazz practices at 17160 Kentucky St, Detroit, MI 48221. The listed phone number is (313) 212-5439.

What is Anjulita Shabazz'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 Anjulita Shabazz was last updated on May 6, 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.