Heather Durham
Licensed Practical Nurse in Novi, MI. Individual provider (NPI-1).
NPI number1982176558
StatusActive
Last updated in NPPESDec 20, 2018
Details
- NPI
- 1982176558
- Entity type
- Individual (NPI-1)
- Name
- Heather Durham
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 20, 2018
- Last updated
- Dec 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703110829 | MI | Yes |
Practice location
41521 W 11 Mile RdNovi, MI 48375-1803
Phone 248-299-0030
Mailing address
41521 W 11 Mile RdNovi, MI 48375-1803
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