Individual provider · Type 1 NPI

Modesta Enechukwu

Licensed Practical Nurse · Canton, MI

NPI number 1386007185 Active

Practice location

6223 N Canton Center Rd Ste 201
Canton, MI 48187-2696

Call (734) 844-6533 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703104340 (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 1386007185

Modesta Enechukwu's National Provider Identifier is 1386007185, issued on Mar 30, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Canton, MI. The record was last updated on Mar 30, 2016.