Individual provider · Type 1 NPI

Latava Solomon

Licensed Practical Nurse · Detroit, MI

NPI number 1013407840 Active

Practice location

19752 Hartwell St
Detroit, MI 48235-1172

Call (313) 742-4108 Map

Fax (313) 742-4108

Mailing address

24225 W 9 Mile Rd # 8
Southfield, MI 48033-3962

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	4703119529 (MI)

Licensed Practical Nurse: 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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About NPI 1013407840

Latava Solomon's National Provider Identifier is 1013407840, issued on May 17, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Detroit, MI. The record was last updated on Oct 5, 2025.