MRS. LATISHA RENEE GRAY LPN - NPI 1821510116 - Licensed Practical Nurse in Detroit, MI

Q: What is Latisha Gray's NPI number?

The NPI number for Latisha Gray is 1821510116. It was assigned to this individual provider in the NPPES registry on July 9, 2017.

Q: What is Latisha Gray's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Latisha Gray was last updated on January 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Latisha Renee Gray Lpn NPPES

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

MRS. LATISHA RENEE GRAY LPN (NPI 1821510116) is an individual licensed practical nurse in Detroit, Michigan, licensed in Michigan (4703103631) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1821510116

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMRS. LATISHA RENEE GRAYCredential: LPN

Location Address4646 JOHN R STDetroit, MI 48201-1916

Mailing Address4646 John R StDetroit, MI 48201-1916 · (313) 576-2472

Phone(313) 576-2472

Sole ProprietorNo

Enumeration DateJuly 9, 2017

Last NPPES UpdateJanuary 11, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2023

✔ NPI 1821510116 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 · 4703103631

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.

4646 JOHN R ST, Detroit, MI 48201

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