Individual provider · Type 1 NPI

Dajuan Fanning

Licensed Practical Nurse · Southfield, MI

NPI number 1376102434 Active

Practice location

17072 New Hampshire Dr
Southfield, MI 48075-2972

Call (313) 213-7470 Map

Specialties and licenses

TaxonomyCodeLicense
Chore Provider 372500000XNone listed
Home Health Aide 374U00000XNone listed
Prevention Professional 405300000X4703116420 (MI)
Licensed Practical Nurse Primary 164W00000X4703116420 (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 1376102434

Dajuan Fanning's National Provider Identifier is 1376102434, issued on Jun 11, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Southfield, MI. The record was last updated on Jun 11, 2019.