Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARYAM BLACKEAGLE
ActiveMARYAM BLACKEAGLE is a Licensed Practical Nurse healthcare provider located in DEARBORN HEIGHTS, Michigan. NPI 1104285881 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · DEARBORN HEIGHTS, MI
Registration Details
- NPI Number
- 1104285881
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 23, 2016 (10.471642672682 yrs)
- Last Updated
- Feb 23, 2016
- License
-
4703085481 (MI)
Practice Information
- Address
-
8445 NORBORNE AVEDEARBORN HEIGHTS, MI, 481271125Browse MI providers · Browse ZIP 48127
- Phone
- 7347273010
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in DEARBORN HEIGHTS, MI
| Name | Credential | NPI |
|---|---|---|
| SHEKIMA COVINGTON | — | 1487034997 |
| MARLINA CHARLESTON | LPN | 1356724116 |
| MIA FRIERSON | — | 1285091843 |
| TERI SELOGY | — | 1124486592 |
| REGINA WILLIAMS | — | 1861854770 |
| CHANTRANAE COLVIN | — | 1831551753 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.