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NPI Code Detail

MEDICARE: MS. DAWN MARIE NIGHTINGALE R.N. B.S.N

MEDICARE:  MS. DAWN MARIE NIGHTINGALE  R.N. B.S.N
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0808XPsychiatric/Mental Health Registered Nurse4704265280MI

General Provider Information

NPI Number : 1447628730
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DAWN MARIE NIGHTINGALE R.N. B.S.N
Provider Business Mailing Address
First Line : 2101 GLEN HILL HWY
Second Line :
City : CLAYTON
State : MI
Zip : 49235-9673
Country : US
Telephone Number : 517-263-8905
Fax Number :
Provider Business Practice Location Address
First Line : 2101 GLEN HILL HWY
Second Line :
City : CLAYTON
State : MI
Zip : 49235-9673
Country : US
Telephone Number : 517-263-8905
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2015
Last Update Date : 09/03/2015

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Directions to “ MS. DAWN MARIE NIGHTINGALE R.N. B.S.N” Practice Location

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