Individual provider · Type 1 NPI

Marie Michelle Ezenwokemodo

Licensed Practical Nurse · Canton, MI

NPI number 1710365481 Active

Practice location

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

Call (734) 844-6533 Map

Fax (734) 667-5079

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703110083 (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 1710365481

Marie Michelle Ezenwokemodo's National Provider Identifier is 1710365481, issued on May 13, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Canton, MI. The record was last updated on May 13, 2015.