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NPI Profile for MARYAM BLACKEAGLE in DEARBORN HEIGHTS, MI.
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Licensed Practical Nurse |
164W00000X |
| NPI Number | 1104285881 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/23/2016 | |
| Last updated | 02/23/2016 - About 10 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARYAM BLACKEAGLE
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MARYAM BLACKEAGLE