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Phanitra Nicole Wilson, LPN
Licensed Practical Nurse in Lansing, Michigan
NPI 1619592003

Phanitra Nicole Wilson is a Licensed Practical Nurse based in Lansing, MI. Phanitra Nicole Wilson practices in Lansing, MI and has the professional credentials of LPN. The NPI Number for Phanitra Nicole Wilson is 1619592003 and holds a License No. 4703120709 (Michigan).

The current practice location address for Phanitra Nicole Wilson is 2700 Eaton Rapids Rd Lot 184, Lansing, MI and can be reached out via phone at 517-575-3129.

Location: 2700 Eaton Rapids Rd Lot 184, Lansing, MI, 48911-6323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619592003
Provider Name
Phanitra Nicole Wilson
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
2700 Eaton Rapids Rd Lot 184, Lansing, MI, 48911-6323
Phone Number
517-575-3129
Fax Number
Provider Enumeration Date
06/11/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2700 Eaton Rapids Rd Lot 184
City
Lansing
State
Michigan
Zip
48911-6323
Phone Number
517-575-3129
Fax Number
person
Provider Business Mailing Address Details
Address
2700 Eaton Rapids Rd Lot 184
City
Lansing
State
Michigan
Zip
48911-6323
Phone Number
517-575-3129
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703120709 (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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