Organization · Type 2 NPI
Executive Care
Licensed Practical Nurse · Detroit, MI
NPI number
1770145872
Active
Practice location
8951 Rutherford St
Detroit, MI 48228-2131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | None listed |
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 1770145872
Executive Care's National Provider Identifier is 1770145872, issued on Jun 28, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Detroit, MI. The record was last updated on Jun 28, 2019.