Individual provider · Type 1 NPI
Dayvea Pesola
Licensed Practical Nurse · Grand Rapids, MI
NPI number
1609717628
Active
Practice location
436 Carrier St NE Apt 2
Grand Rapids, MI 49505-5137
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 4703122796 (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 1609717628
Dayvea Pesola's National Provider Identifier is 1609717628, issued on Apr 3, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 3, 2026.