Individual provider · Type 1 NPI

Ayanna Mathis

Licensed Practical Nurse · Canton, MI

NPI number 1972330652 Active

Practice location

40633 Tamarack Dr Apt 201
Canton, MI 48188-2839

Call (734) 489-3190 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703130134 (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 1972330652

Ayanna Mathis's National Provider Identifier is 1972330652, issued on Sep 17, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Canton, MI. The record was last updated on Sep 17, 2024.