Individual provider · Type 1 NPI

Mary Fundaro, LPN

Licensed Practical Nurse · Royal Oak, MI

NPI number 1215354071 Active

Practice location

4345 Crooks Rd, Unit 4
Royal Oak, MI 48073-1971

Call (586) 980-1148 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703110598 (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 1215354071

Mary Fundaro, LPN's National Provider Identifier is 1215354071, issued on Mar 18, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Royal Oak, MI. The record was last updated on Mar 18, 2014.