Individual provider · Type 1 NPI

Diamond Gentry

Licensed Practical Nurse · Walled Lake, MI

NPI number 1639073166 Active

Practice location

1010 E West Maple Rd Ste 200
Walled Lake, MI 48390-3571

Call (734) 498-0594 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703129667 (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.

5 other providers at this address

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About NPI 1639073166

Diamond Gentry's National Provider Identifier is 1639073166, issued on Oct 7, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Walled Lake, MI. The record was last updated on Oct 7, 2026.