Individual provider · Type 1 NPI

Logan Thirkill

Licensed Practical Nurse · Pontiac, MI

NPI number 1700621992 Active

Practice location

44200 Woodward Ave Ste 212
Pontiac, MI 48341-5045

Mailing address

4073 Cambrook Ln
Waterford, MI 48329-1606

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703117225 (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 1700621992

Logan Thirkill's National Provider Identifier is 1700621992, issued on Jun 28, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Pontiac, MI. The record was last updated on Jul 1, 2024.