Individual provider · Type 1 NPI
Shihata Nelson
Driver · Detroit, MI
NPI number
1154148807
Active
Practice location
18630 Washburn St
Detroit, MI 48221-1916
Fax (313) 862-3288
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 801265656 (MI) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1154148807
Shihata Nelson's National Provider Identifier is 1154148807, issued on Sep 24, 2024. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Detroit, MI. The record was last updated on Sep 24, 2024.