Individual provider · Type 1 NPI

Dixie Douglas

Licensed Practical Nurse · West Bloomfield, MI

NPI number 1144695503 Active

Practice location

5836 Applewood
West Bloomfield, MI 48322-3484

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703033137 (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 1144695503

Dixie Douglas's National Provider Identifier is 1144695503, issued on Dec 9, 2015. 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 Dec 9, 2015.