Individual provider · Type 1 NPI

Myesha Fennick, LPN

Licensed Practical Nurse · Madison Heights, MI

NPI number 1144672403 Active

Practice location

605 West Brockton Avenue
Madison Heights, MI 48071-3919

Call (248) 825-5401 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703110153 (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 1144672403

Myesha Fennick, LPN's National Provider Identifier is 1144672403, issued on Jul 11, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Madison Heights, MI. The record was last updated on Jul 11, 2016.