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Maryam Blackeagle
Licensed Practical Nurse in Dearborn Heights, Michigan
NPI 1104285881

Maryam Blackeagle is a Licensed Practical Nurse based in Dearborn Heights, MI. Maryam Blackeagle practices in Dearborn Heights, MI. The NPI Number for Maryam Blackeagle is 1104285881 and holds a License No. 4703085481 (Michigan).

The current practice location address for Maryam Blackeagle is 8445 Norborne Ave, Dearborn Heights, MI and can be reached out via phone at 734-727-3010.

Location: 8445 Norborne Ave, Dearborn Heights, MI, 48127-1125
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104285881
Provider Name
Maryam Blackeagle
Credential
Provider Entity Type
Individual
Gender
Female
Address
8445 Norborne Ave, Dearborn Heights, MI, 48127-1125
Phone Number
734-727-3010
Fax Number
Provider Enumeration Date
02/23/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8445 Norborne Ave
City
Dearborn Heights
State
Michigan
Zip
48127-1125
Phone Number
734-727-3010
Fax Number
person
Provider Business Mailing Address Details
Address
8445 Norborne Ave
City
Dearborn Heights
State
Michigan
Zip
48127-1125
Phone Number
734-727-3010
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703085481 (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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