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Contact Information

SHANITA BLEVINS, RN
19962 FERGUSON ST
DETROIT, MI48235-2431
 Phone: 313-352-2774
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

163WH0200X
Indicates primary specialty

NPI Profile & details for SHANITA BLEVINS · (Female)

NPI Number 1770105389
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 05/18/2020
Last updated 05/18/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4704343996
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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