person
Marie Michelle Ezenwokemodo
Licensed Practical Nurse in Canton, Michigan
NPI 1710365481

Marie Michelle Ezenwokemodo is a Licensed Practical Nurse based in Canton, MI. Marie Michelle Ezenwokemodo practices in Canton, MI. The NPI Number for Marie Michelle Ezenwokemodo is 1710365481 and holds a License No. 4703110083 (Michigan).

The current practice location address for Marie Michelle Ezenwokemodo is 6223 N Canton Center Rd Ste 201, Canton, MI and can be reached out via phone at 734-844-6533 and via fax at 734-667-5079. You can also correspond with Marie Michelle Ezenwokemodo through the mailing address at 6223 N CANTON CENTER RD STE 201, CANTON, MI - 48187-2696 (mailing address contact number: 734-844-6533).

Location: 6223 N Canton Center Rd Ste 201, Canton, MI, 48187-2696
person
Provider Profile Details
NPI Number
1710365481
Provider Name
Marie Michelle Ezenwokemodo
Credential
Provider Entity Type
Individual
Gender
Female
Address
6223 N Canton Center Rd Ste 201, Canton, MI, 48187-2696
Phone Number
734-844-6533
Fax Number
734-667-5079
Provider Enumeration Date
05/13/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4360685 05 MI
institution
Provider Business Practice Location Address Details
Address
6223 N Canton Center Rd Ste 201
City
State
Zip
48187-2696
Phone Number
734-844-6533
Fax Number
734-667-5079
person
Provider Business Mailing Address Details
Address
6223 N Canton Center Rd Ste 201
City
State
Zip
48187-2696
Phone Number
734-844-6533
Fax Number
734-667-5079
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
4703110083 (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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