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Department Of Veteran Affairs

Licensed Practical Nurse in Detroit, MI. Organization (NPI-2).

NPI number1730802455
StatusActive
Last updated in NPPESSep 26, 2022

Details

NPI
1730802455
Entity type
Organization (NPI-2)
Legal business name
Department Of Veteran Affairs
Organization subpart
No
Enumeration date
Sep 20, 2022
Certification date
Sep 26, 2022
Last updated
Sep 26, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse––Yes

Other names

  • United States Government (Other Name)

Practice location

4646 John R St
Detroit, MI 48201-1916

Phone 313-576-1000

Mailing address

4646 John R St
Detroit, MI 48201-1916

Phone 313-576-1000

Authorized official

Takiyah McPherson
Clinical Nurse Manger
3135761000

Is something wrong?

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