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John Michael Cudworth, LPN

Licensed Practical Nurse in Saginaw, MI. Individual provider (NPI-1).

NPI number1962085191
StatusActive
Last updated in NPPESMay 5, 2021

Details

NPI
1962085191
Entity type
Individual (NPI-1)
Name
John Michael Cudworth
Credential
LPN
Sex
Male
Sole proprietor
No
Enumeration date
May 5, 2021
Certification date
May 5, 2021
Last updated
May 5, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse4703103568MIYes

Practice location

5557 N Anita Dr
Saginaw, MI 48601-9237

Phone 989-493-9473

Mailing address

5557 N Anita Dr
Saginaw, MI 48601-9237

Phone 989-493-9473

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