Individual provider · Type 1 NPI

Dominique Shayrae Mead

Licensed Practical Nurse · Flushing, MI

NPI number 1194463570 Active

Practice location

10252 Stanley Rd
Flushing, MI 48433-9277

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703123669 (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 1194463570

Dominique Shayrae Mead's National Provider Identifier is 1194463570, issued on May 25, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Flushing, MI. The record was last updated on May 25, 2022.