Individual provider · Type 1 NPI

Shanice Carnella Goodman-Taylor

Licensed Practical Nurse · West Bloomfield, MI

NPI number 1063256519 Active

Practice location

6800 W Maple Rd
West Bloomfield, MI 48322-2792

Call (248) 788-5300 Map

Mailing address

42941 Northville Place Dr Apt 1612
Northville, MI 48167-2924

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703128440 (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 1063256519

Shanice Carnella Goodman-Taylor's National Provider Identifier is 1063256519, issued on Jun 20, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in West Bloomfield, MI. The record was last updated on Jun 20, 2024.