Individual provider · Type 1 NPI

Ijunanya Okwuchi Marcum

Licensed Practical Nurse · Southgate, MI

NPI number 1730454364 Active

Practice location

13101 Allen Rd, Building 4 Entrance F
Southgate, MI 48195-2216

Fax (734) 287-4602

Mailing address

28842 Burning Tree Ln
Romulus, MI 48174-3004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Licensed Practical Nurse Primary 164W00000X4703126099 (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 1730454364

Ijunanya Okwuchi Marcum's National Provider Identifier is 1730454364, issued on Mar 15, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Southgate, MI. The record was last updated on May 4, 2022.