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Dajuan Fanning
Licensed Practical Nurse in Southfield, Michigan
NPI 1376102434

Dajuan Fanning is a Licensed Practical Nurse based in Southfield, MI. Dajuan Fanning practices in Southfield, MI. The NPI Number for Dajuan Fanning is 1376102434 and holds a License No. (Michigan).

The current practice location address for Dajuan Fanning is 17072 New Hampshire Dr, Southfield, MI and can be reached out via phone at 313-213-7470. You can also correspond with Dajuan Fanning through the mailing address at 17072 NEW HAMPSHIRE DR, SOUTHFIELD, MI - 48075-2972 (mailing address contact number: 313-213-7470).

Location: 17072 New Hampshire Dr, Southfield, MI, 48075-2972
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376102434
Provider Name
Dajuan Fanning
Credential
Provider Entity Type
Individual
Gender
Male
Address
17072 New Hampshire Dr, Southfield, MI, 48075-2972
Phone Number
313-213-7470
Fax Number
Provider Enumeration Date
06/11/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4703116420 05 MI
4703116420 01 MI BCBS
institution
Provider Business Practice Location Address Details
Address
17072 New Hampshire Dr
City
Southfield
State
Michigan
Zip
48075-2972
Phone Number
313-213-7470
Fax Number
person
Provider Business Mailing Address Details
Address
17072 New Hampshire Dr
City
Southfield
State
Michigan
Zip
48075-2972
Phone Number
313-213-7470
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703116420 (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.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Chore Provider
Speciality
-
Taxonomy
372500000X
License No.
4703116420 (Michigan)
Definition
An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress.
person
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
()
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.
person
Provider's Taxonomy Details 4
Type
Other Service Providers
Classification
Prevention Professional
Speciality
-
Taxonomy
405300000X
License No.
()
Definition
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
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