Individual provider · Type 1 NPI

Tanicsha Draper

Licensed Practical Nurse · Wixom, MI

NPI number 1891515375 Active

Practice location

31121 Wildwood St
Wixom, MI 48393-2625

Call (586) 350-1352 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703120820 (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 1891515375

Tanicsha Draper's National Provider Identifier is 1891515375, issued on Oct 10, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Wixom, MI. The record was last updated on Oct 10, 2024.