DIMITRIA LOUISE DOUGLAS LPN NURSE
NPI 1407536808
Licensed Practical Nurse in Canton, MI
- Individual
- Female
- Licensed Practical Nurse
About DIMITRIA DOUGLAS
This page provides the complete NPI Profile along with additional information for Dimitria Douglas, a provider established in Canton, Michigan with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1407536808 assigned on July 2023. The practitioner's primary taxonomy code is 164W00000X with license number 4703080037 (MI). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1407536808 Verify this NPI
- Provider Name
- DIMITRIA LOUISE DOUGLAS LPN NURSE
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 43825 MICHIGAN AVE CANTON, MI 48188
- Location Phone
- (734) 397-3088
- Location Fax
- (734) 397-7044
- Mailing Address
- 43825 MICHIGAN AVE CANTON, MI 48188
- Mailing Phone
- (734) 397-3088
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-20-2023
- Last Update Date
- 07-20-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 4703080037
- License State
- MI
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CANTON, MI 48188
CANTON, MI 48188
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407536808, enumerated as an "individual" on July 20, 2023.
The provider is located at 43825 MICHIGAN AVE CANTON, MI 48188 and the phone number is (734) 397-3088.
Licensed Practical Nurse with taxonomy code 164W00000X.
