Individual provider · Type 1 NPI

Maguiem Tako Fortune, LPN

Licensed Practical Nurse · Washington, DC

NPI number 1801504790 Active

Practice location

1615 Kenilworth Ave NE
Washington, DC 20019-2010

Mailing address

9741 Good Luck Rd Apt 11
Lanham, MD 20706-3320

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP56302 (MD)

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 1801504790

Maguiem Tako Fortune, LPN's National Provider Identifier is 1801504790, issued on Nov 9, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Washington, DC. The record was last updated on Nov 9, 2022.