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Mara Michelle Douglas-green, LPN
Licensed Practical Nurse in Eastpointe, Michigan
NPI 1154199180

Mara Michelle Douglas-green is a Licensed Practical Nurse based in Eastpointe, MI. Mara Michelle Douglas-green practices in Eastpointe, MI and has the professional credentials of LPN. The NPI Number for Mara Michelle Douglas-green is 1154199180 and holds a License No. 4703098979 (Michigan).

The current practice location address for Mara Michelle Douglas-green is 16855 Sprenger Ave, Eastpointe, MI and can be reached out via phone at 313-717-0672.

Location: 16855 Sprenger Ave, Eastpointe, MI, 48021-3099
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154199180
Provider Name
Mara Michelle Douglas-green
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
16855 Sprenger Ave, Eastpointe, MI, 48021-3099
Phone Number
313-717-0672
Fax Number
Provider Enumeration Date
12/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16855 Sprenger Ave
City
Eastpointe
State
Michigan
Zip
48021-3099
Phone Number
313-717-0672
Fax Number
person
Provider Business Mailing Address Details
Address
16855 Sprenger Ave
City
Eastpointe
State
Michigan
Zip
48021-3099
Phone Number
313-717-0672
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703098979 (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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