Individual provider · NPI-1
Loreen Barker
Registered Nurse, General Practice · Detroit, MI
NPI number1265170872
StatusActive
Last updated in NPPESMay 24, 2022
Details
- NPI
- 1265170872
- Entity type
- Individual (NPI-1)
- Name
- Loreen Barker
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 24, 2022
- Certification date
- May 23, 2022
- Last updated
- May 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 4704386323 | MI | Yes |
Practice location
13929 Harper AveDetroit, MI 48213-3672
Phone 313-371-0055
Mailing address
25765 Crimson CtWarren, MI 48089-4598
Phone 313-320-3810
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