Individual provider · Type 1 NPI

Qiana Tene Matthews, LPN

Licensed Practical Nurse · Ecorse, MI

NPI number 1992694228 Active

Practice location

4007 12th St
Ecorse, MI 48229-1305

Call (313) 624-7182 Map

Mailing address

4007 12th St # 400712th
Ecorse, MI 48229-1305

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	4703121451 (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 1992694228

Qiana Tene Matthews, LPN's National Provider Identifier is 1992694228, issued on Jul 1, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Ecorse, MI. The record was last updated on Jul 1, 2025.