Healthcare Provider Details
I. General information
NPI: 1235956327
Provider Name (Legal Business Name): TEMEKA HORTON-WASHINGTON DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/20/2024
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
19723 ANITA ST
HARPER WOODS MI
48225-1108
US
IV. Provider business mailing address
19723 ANITA ST
HARPER WOODS MI
48225-1108
US
V. Phone/Fax
- Phone: 313-282-7242
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 4704325128 |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: