DAJUAN FANNING
Licensed Practical Nurse
Active
Individual
NPI: 1376102434
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Chore Provider | 372500000X | No | - |
| Home Health Aide | 374U00000X | No | - |
| Prevention Professional | 405300000X | No | 4703116420 (MI) |
| Licensed Practical Nurse | 164W00000X | Yes | 4703116420 (MI) |
Frequently Asked Questions
NPI 1376102434 is the National Provider Identifier for DAJUAN FANNING, a Licensed Practical Nurse provider located in Southfield, MI. This NPI was enumerated on June 11, 2019.
DAJUAN FANNING practices at 17072 NEW HAMPSHIRE DR, Southfield, MI 48075.
Quick Facts
- NPI
- 1376102434
- Type
- Individual
- Enumerated
- Jun 11, 2019
- Last Updated
- Jun 11, 2019
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