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DIMITRIA LOUISE DOUGLAS LPN NURSE
NPI 1407536808
Licensed Practical Nurse in Canton, MI

Active since July 20, 2023
43825 MICHIGAN AVE, CANTON, MI 48188(734) 397-3088(734) 397-7044 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dimitria Louise Douglas Lpn Nurse NPPES

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

DIMITRIA LOUISE DOUGLAS LPN NURSE (NPI 1407536808) is an individual licensed practical nurse in Canton, Michigan, licensed in Michigan (4703080037) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1407536808
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameDIMITRIA LOUISE DOUGLASCredential: LPN NURSE
Location Address43825 MICHIGAN AVECanton, MI 48188-2551
Mailing Address43825 Michigan AveCanton, MI 48188-2551 · (734) 397-3088
Phone(734) 397-3088
Fax(734) 397-7044
Sole ProprietorYes
Enumeration DateJuly 20, 2023
NPPES CertifiedJuly 20, 2023
✔ NPI 1407536808 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 · 4703080037
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.
43825 MICHIGAN AVE, Canton, MI 48188
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANESSA LYNN SANDERS RN
Registered Nurse (Addiction (Substance Use Disorder))
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
FLORENCE IGBAWUA
Social Worker
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
MR. JONATHAN AARON KOZIEL NP
Family Medicine
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
KENNAYA YAUQUAN DAVIS LPN
Licensed Practical Nurse
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
MR. TYLER MANNS
Counselor (Addiction (Substance Use Disorder))
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
MANDY GRAHAM
Peer Specialist
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
MR. ROY HELTON LPN
Licensed Practical Nurse
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
KELLI HACKEL
Registered Nurse (Addiction (Substance Use Disorder))
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088

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 Dimitria Douglas's NPI number?

The NPI number for Dimitria Douglas is 1407536808. It was assigned to this individual provider in the NPPES registry on July 20, 2023.

Where is Dimitria Douglas located?

Dimitria Douglas practices at 43825 Michigan Ave, Canton, MI 48188. The listed phone number is (734) 397-3088.

What is Dimitria Douglas'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 Dimitria Douglas was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.