MR. DAMON PENDYGRAFT LPN - NPI 1831719061 - Licensed Practical Nurse in Flint, MI

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

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About Mr. Damon Pendygraft Lpn NPPES

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

MR. DAMON PENDYGRAFT LPN (NPI 1831719061) is an individual licensed practical nurse in Flint, Michigan, licensed in Michigan (4703095631) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1831719061

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameMR. DAMON PENDYGRAFTCredential: LPN

Location Address1925 LINCOLN DRFlint, MI 48503-4718

Mailing Address1925 Lincoln DrFlint, MI 48503-4718 · (870) 490-2625

Phone(870) 490-2625

Sole ProprietorNo

Enumeration DateApril 17, 2020

NPPES CertifiedApril 17, 2020

✔ NPI 1831719061 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 · 4703095631

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.

1925 LINCOLN DR, Flint, MI 48503

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Frequently Asked Questions

What is Damon Pendygraft's NPI number?

The NPI number assigned to this healthcare provider is 1831719061, enumerated as an "individual" on April 17, 2020.

Where is the provider located?

The provider is located at 1925 LINCOLN DR FLINT, MI 48503 and the phone number is (870) 490-2625.

What is the provider's specialty?

Licensed Practical Nurse with taxonomy code 164W00000X.