Tyra Hawthorne - Detroit, MI

Tyra Hawthorne

Licensed Practical Nurse in Detroit, Michigan

NPI 1619675139

Tyra Hawthorne is a Licensed Practical Nurse based in Detroit, MI. Tyra Hawthorne practices in Detroit, MI. The NPI Number for Tyra Hawthorne is 1619675139 and holds a License No. 4703122040 (Michigan).

The current practice location address for Tyra Hawthorne is 11464 Nashville St, Detroit, MI and can be reached out via phone at 313-694-7290.

Location: 11464 Nashville St, Detroit, MI, 48205-3237

NPI Number

1619675139

Provider Name

Tyra Hawthorne

Credential

Provider Entity Type

Individual

Gender

Female

Address

11464 Nashville St, Detroit, MI, 48205-3237

Phone Number

313-694-7290

Fax Number

Provider Enumeration Date

02/23/2023

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
H365809485592	01	MI	DRIVERS LICENSE

Address

11464 Nashville St

City

Detroit

State

Michigan

Zip

48205-3237

Phone Number

313-694-7290

Fax Number

Address

11464 Nashville St

City

Detroit

State

Michigan

Zip

48205-3237

Phone Number

313-694-7290

Fax Number

Type

Nursing Service Providers

Classification

Licensed Practical Nurse

Speciality

Taxonomy

164W00000X

License No.

4703122040 (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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