SearchMichigan164W00000X

Phanitra Wilson, LPN

NPI 1619592003 · on the registry since 2020 · sole proprietor

Practice

Address
2700 Eaton Rapids Rd Lot 184
Lansing, MI 48911
Phone
(517) 575-3129

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-06-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan