Individual provider · Type 1 NPI

Tamrala Cruse

Licensed Practical Nurse · Northville, MI

NPI number 1194446997 Active

Practice location

19448 Northridge Dr Apt H
Northville, MI 48167-3128

Mailing address

4646 John R St
Detroit, MI 48201-1916

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703111274 (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 1194446997

Tamrala Cruse's National Provider Identifier is 1194446997, issued on Sep 9, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Northville, MI. The record was last updated on Sep 14, 2022.