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NPI 1730802455ActiveOrganization· Licensed Practical Nurse· Detroit, MI

Licensed Practical Nurse in Detroit, Michigan, registered in NPPES in September 2022. The authorized official on file is Takiyah McPherson, RN, Clinical Nurse Manger.

Overview

NPI1730802455
StatusActive
Entity typeOrganization
NPI issuedSep 20, 2022
Last updated in NPPESSep 26, 2022
Certified by providerSep 26, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary164W00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Licensed Practical Nurse providers in Detroit

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