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Heidi Lynne Datema, LPN
Licensed Practical Nurse in Rockford, Michigan
NPI 1982225538

Heidi Lynne Datema is a Licensed Practical Nurse based in Rockford, MI. Heidi Lynne Datema practices in Rockford, MI and has the professional credentials of LPN. The NPI Number for Heidi Lynne Datema is 1982225538 and holds a License No. 4703110270 (Michigan).

The current practice location address for Heidi Lynne Datema is 4499 Summit Forest Dr Ne, Rockford, MI and can be reached out via phone at 847-302-6995.

Location: 4499 Summit Forest Dr Ne, Rockford, MI, 49341-7842
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982225538
Provider Name
Heidi Lynne Datema
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
4499 Summit Forest Dr Ne, Rockford, MI, 49341-7842
Phone Number
847-302-6995
Fax Number
Provider Enumeration Date
05/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4499 Summit Forest Dr Ne
City
Rockford
State
Michigan
Zip
49341-7842
Phone Number
847-302-6995
Fax Number
person
Provider Business Mailing Address Details
Address
4499 Summit Forest Dr Ne
City
Rockford
State
Michigan
Zip
49341-7842
Phone Number
847-302-6995
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703110270 (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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