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MARIE MICHELLE EZENWOKEMODO
NPI 1710365481
Licensed Practical Nurse in Canton, MI

Active since May 13, 2015
6223 N CANTON CENTER RD STE 201, CANTON, MI 48187(734) 844-6533(734) 667-5079 Get Directions Write a Review

NPPES record last updated: May 13, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marie Michelle Ezenwokemodo NPPES

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

MARIE MICHELLE EZENWOKEMODO (NPI 1710365481) is an individual licensed practical nurse in Canton, Michigan, licensed in Michigan (4703110083) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1710365481
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMARIE MICHELLE EZENWOKEMODO
Location Address6223 N CANTON CENTER RD STE 201Canton, MI 48187-2696
Mailing Address6223 N Canton Center Rd Ste 201Canton, MI 48187-2696 · (734) 844-6533 · Fax (734) 667-5079
Phone(734) 844-6533
Fax(734) 667-5079
Sole ProprietorNo
Enumeration DateMay 13, 2015
✔ NPI 1710365481 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 · 4703110083
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.
6223 N CANTON CENTER RD STE 201, Canton, MI 48187
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Other Identifiers 1

Medicaid4360685MI

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.

ELIZABETH MULI
Licensed Practical Nurse
6223 N CANTON CENTER RD STE 201
CANTON, MI 48187
Wayne County (734) 844-6533
MS. ANDREA D MCCORMICK
Registered Nurse
6223 N CANTON CENTER RD STE 201
CANTON, MI 48187
Wayne County (734) 844-6533
JOAN AKU
Registered Nurse
6223 N CANTON CENTER RD STE 201
CANTON, MI 48187
Wayne County (734) 660-3077
IBIYEMI OMOLE
Licensed Practical Nurse
6223 N CANTON CENTER RD STE 201
CANTON, MI 48187
Wayne County (734) 844-6533
MICHELLE ONWENU
Licensed Practical Nurse
6223 N CANTON CENTER RD STE 201
CANTON, MI 48187
Wayne County (734) 844-6533
JETRUDE CHIOMA AHIWE LPN
Licensed Practical Nurse
6223 N CANTON CENTER RD STE 201
CANTON, MI 48187
Wayne County (734) 844-6533
SULIAT ASHARA
Registered Nurse
6223 N CANTON CENTER RD STE 201
CANTON, MI 48187
Wayne County (734) 844-6533
ELIZABETH NDISANG
Licensed Practical Nurse
6223 N CANTON CENTER RD STE 201
CANTON, MI 48187
Wayne County (734) 844-6533

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 Marie Ezenwokemodo's NPI number?

The NPI number for Marie Ezenwokemodo is 1710365481. It was assigned to this individual provider in the NPPES registry on May 13, 2015.

Where is Marie Ezenwokemodo located?

Marie Ezenwokemodo practices at 6223 N Canton Center Rd Ste 201, Canton, MI 48187. The listed phone number is (734) 844-6533.

What is Marie Ezenwokemodo'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 Marie Ezenwokemodo was last updated on May 13, 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.