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Dr. Mardi Gras Nanyongo Etchi-banyi
Home Health Aide in Berrien Springs, Michigan
NPI 1154673150

Mardi Gras Nanyongo Etchi-banyi is a Home Health Aide based in Berrien Springs, MI. Mardi Gras Nanyongo Etchi-banyi practices in Berrien Springs, MI. The NPI Number for Mardi Gras Nanyongo Etchi-banyi is 1154673150 and holds a License No. 5302047702 (Michigan).

The current practice location address for Mardi Gras Nanyongo Etchi-banyi is 612 Saint Joseph Ave, Berrien Springs, MI and can be reached out via phone at 301-377-6096 and via fax at 269-473-2566. You can also correspond with Mardi Gras Nanyongo Etchi-banyi through the mailing address at 9766 ROSEHILL RD APT I51, BERRIEN SPRINGS, MI - 49103-2221 (mailing address contact number: 301-377-6096).

Location: 612 Saint Joseph Ave, Berrien Springs, MI, 49103-2221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154673150
Provider Name
Mardi Gras Nanyongo Etchi-banyi
Credential
Provider Entity Type
Individual
Gender
Female
Address
612 Saint Joseph Ave, Berrien Springs, MI, 49103-2221
Phone Number
301-377-6096
Fax Number
269-473-2566
Provider Enumeration Date
10/15/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
612 Saint Joseph Ave
City
Berrien Springs
State
Michigan
Zip
49103-1603
Phone Number
301-377-6096
Fax Number
269-473-2566
person
Provider Business Mailing Address Details
Address
9766 Rosehill Rd Apt I51
City
Berrien Springs
State
Michigan
Zip
49103-2221
Phone Number
301-377-6096
Fax Number
269-473-2566
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
()
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
5302047702 (Michigan)
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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