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Waukesha Branch, LPN
Licensed Practical Nurse in Warren, Michigan
NPI 1548649668

Waukesha Branch is a Licensed Practical Nurse based in Warren, MI. Waukesha Branch practices in Warren, MI and has the professional credentials of LPN. The NPI Number for Waukesha Branch is 1548649668 and holds a License No. 4703114895 (Michigan).

The current practice location address for Waukesha Branch is 2016 Goulson Ave, Warren, MI and can be reached out via phone at 313-784-4540. You can also correspond with Waukesha Branch through the mailing address at 2016 GOULSON AVE, WARREN, MI - 48091-5104 (mailing address contact number: 313-784-4540).

Location: 2016 Goulson Ave, Warren, MI, 48091-5104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548649668
Provider Name
Waukesha Branch
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
2016 Goulson Ave, Warren, MI, 48091-5104
Phone Number
313-784-4540
Fax Number
Provider Enumeration Date
05/21/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2016 Goulson Ave
City
Warren
State
Michigan
Zip
48091-5104
Phone Number
313-784-4540
Fax Number
person
Provider Business Mailing Address Details
Address
2016 Goulson Ave
City
Warren
State
Michigan
Zip
48091-5104
Phone Number
313-784-4540
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703114895 (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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