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Marlena Shaw
Licensed Practical Nurse in Novi, Michigan
NPI 1023450053

Marlena Shaw is a Licensed Practical Nurse based in Southfield, MI. Marlena Shaw practices in Novi, MI. The NPI Number for Marlena Shaw is 1023450053 and holds a License No. 4703111716 (Michigan).

The current practice location address for Marlena Shaw is 41621 W 11 Mile Rd, Novi, MI and can be reached out via phone at 248-299-0030. You can also correspond with Marlena Shaw through the mailing address at 25572 W 12 MILE RD, SOUTHFIELD, MI - 48034-8047 (mailing address contact number: ).

Location: 41621 W 11 Mile Rd, Novi, MI, 48034-8047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023450053
Provider Name
Marlena Shaw
Credential
Provider Entity Type
Individual
Gender
Female
Address
41621 W 11 Mile Rd, Novi, MI, 48034-8047
Phone Number
248-299-0030
Fax Number
Provider Enumeration Date
07/18/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
41621 W 11 Mile Rd
City
Novi
State
Michigan
Zip
48375-1804
Phone Number
248-299-0030
Fax Number
person
Provider Business Mailing Address Details
Address
25572 W 12 Mile Rd
City
Southfield
State
Michigan
Zip
48034-8047
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703111716 (Michigan)
Definition
An individual 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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