Individual provider · Type 1 NPI
Channie Lataurus Odams, LPN
Licensed Practical Nurse · Canton, MI
NPI number
1740519602
Active
Practice location
40075 Eaton St Apt 203
Canton, MI 48187-4526
Mailing address
847 Sumpter Road, #436
Belleville, MI 48111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse | 164W00000X | 71594 (NC) |
| Licensed Practical Nurse | 164W00000X | LPN090950 (GA) |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Driver | 172A00000X | None listed |
| Chore Provider | 372500000X | None listed |
| Adult Companion | 372600000X | None listed |
| Technician | 374700000X | None listed |
| Attendant Care Provider | 3747A0650X | 3747A0650X (MI) |
| Personal Care Attendant | 3747P1801X | None listed |
| Home Health Aide | 374U00000X | None listed |
| Homemaker | 376J00000X | None listed |
| Nurse's Aide | 376K00000X | None listed |
| Licensed Practical Nurse Primary | 164W00000X | 4703101060 (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 1740519602
Channie Lataurus Odams, LPN's National Provider Identifier is 1740519602, issued on Dec 23, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Canton, MI. The record was last updated on Nov 13, 2024.