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Myesha Fennick, LPN
Licensed Practical Nurse in Madison Heights, Michigan
NPI 1144672403

Myesha Fennick is a Licensed Practical Nurse based in Madison Heights, MI. Myesha Fennick practices in Madison Heights, MI and has the professional credentials of LPN. The NPI Number for Myesha Fennick is 1144672403 and holds a License No. 4703110153 (Michigan).

The current practice location address for Myesha Fennick is 605 West Brockton Avenue, Madison Heights, MI and can be reached out via phone at 248-825-5401.

Location: 605 West Brockton Avenue, Madison Heights, MI, 48071-3919
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144672403
Provider Name
Myesha Fennick
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
605 West Brockton Avenue, Madison Heights, MI, 48071-3919
Phone Number
248-825-5401
Fax Number
Provider Enumeration Date
07/11/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
605 West Brockton Avenue
City
Madison Heights
State
Michigan
Zip
48071-3919
Phone Number
248-825-5401
Fax Number
person
Provider Business Mailing Address Details
Address
605 West Brockton Avenue
City
Madison Heights
State
Michigan
Zip
48071-3919
Phone Number
248-825-5401
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703110153 (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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