Individual provider · Type 1 NPI

Heidi Lynne Datema, LPN

Licensed Practical Nurse · Rockford, MI

NPI number 1982225538 Active

Practice location

4499 Summit Forest Dr NE
Rockford, MI 49341-7842

Call (847) 302-6995 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703110270 (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 1982225538

Heidi Lynne Datema, LPN's National Provider Identifier is 1982225538, issued on May 5, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rockford, MI. The record was last updated on May 5, 2020.