GWENDOLYN D DEWALT RN, LBSW
NPI 1568611846
Registered Nurse in Detroit, MI

Active since September 11, 2008
2761 E JEFFERSON AVE, DETROIT, MI 48207(313) 993-3964(313) 993-1372 Get Directions Write a Review

NPPES record last updated: September 11, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gwendolyn D Dewalt Rn, Lbsw NPPES

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

GWENDOLYN D DEWALT RN, LBSW (NPI 1568611846) is an individual registered nurse in Detroit, Michigan, licensed in Michigan (4704157517) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1568611846
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameGWENDOLYN D DEWALTCredential: RN, LBSW
Location Address2761 E JEFFERSON AVEDetroit, MI 48207-4105
Mailing Address2761 E Jefferson AveDetroit, MI 48207-4105 · (313) 993-3964 · Fax (313) 993-1372
Fax(313) 993-1372
Sole ProprietorNo
Enumeration DateSeptember 11, 2008
NPI 1568611846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in MI · 4704157517
Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Also ListedSocial WorkerTaxonomy 104100000X · License 6802059768 (MI)
2761 E JEFFERSON AVE, Detroit, MI 48207

Other Providers at the Same Location NPPES 4

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

Counselor (Professional)
2761 E JEFFERSON AVE
DETROIT, MI 48207
Student in an Organized Health Care Education/Training Program
2761 E JEFFERSON AVE
DETROIT, MI 48207
Social Worker
2761 E JEFFERSON AVE
DETROIT, MI 48207
Student in an Organized Health Care Education/Training Program
2761 E JEFFERSON AVE
DETROIT, MI 48207

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568611846, enumerated as an "individual" on September 11, 2008.

The provider is located at 2761 E JEFFERSON AVE DETROIT, MI 48207 and the phone number is (313) 993-3964.

Registered Nurse with taxonomy code 163W00000X.