Department of Veteran Affairs

NPI #1730802455 in Detroit, Michigan

Provider Information

NPI Number
1730802455
Entity Type
Organization
Organization Name
Department of Veteran Affairs
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Sep 20, 2022
Last Updated
Sep 26, 2022

Practice Location

Address
4646 JOHN R ST
ZIP Code
48201-1916
Phone
(313) 576-1000

Authorized Official

Name
MRS. TAKIYAH MCPHERSON, RN
Title
CLINICAL NURSE MANGER
Phone
(313) 576-1000

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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