Individual provider · Type 1 NPI

Ivye L. Moss, MLPN

Licensed Practical Nurse · Detroit, MI

NPI number 1689838468 Active

Practice location

City Of Detroit Health Department 1151 Taylor, Room 332
Detroit, MI 48202-1732

Call (313) 852-4291 Map

Fax (313) 368-4694

Mailing address

Northeast Health Center 5400 East 7 Mile, Room 25
Detroit, MI 48234

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703063073 (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 1689838468

Ivye L. Moss, MLPN's National Provider Identifier is 1689838468, issued on Jul 11, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Detroit, MI. The record was last updated on Jul 11, 2008.