Individual provider · Type 1 NPI

Stephania Threatt

Licensed Practical Nurse · Detroit, MI

NPI number 1235939919 Active

Practice location

4646 John R St
Detroit, MI 48201-1916

Call (313) 576-1000 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703101025 (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 1235939919

Stephania Threatt's National Provider Identifier is 1235939919, issued on Mar 13, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Detroit, MI. The record was last updated on Mar 13, 2025.