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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DAJUAN FANNING

Active

DAJUAN FANNING is a Licensed Practical Nurse healthcare provider located in SOUTHFIELD, Michigan. NPI 1376102434 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · SOUTHFIELD, MI

Registration Details

NPI Number
1376102434
Provider Type
Individual
Gender
Male
NPI Issued
Jun 11, 2019 (7.2129151951413 yrs)
Last Updated
Jun 11, 2019
Licenses
4703116420 (MI)
4703116420 (MI)

Practice Information

Address
17072 NEW HAMPSHIRE DR
SOUTHFIELD, MI, 480752972
Browse MI providers · Browse ZIP 48075
Phone
3132137470
Primary Specialty
Licensed Practical Nurse
164W00000X
Additional Specialty
Home Health Aide
Additional Specialty
405300000X
Additional Specialty
Licensed Practical Nurse

Other Licensed Practical Nurse Providers in SOUTHFIELD, MI

Name Credential NPI
MRS. SHEBA GUSTOVA BROOKS LPN 1093981037
MS. ANN MICHELLE FOSTER LICENSED PRACTICAL N 1467748764
SHEILA NATALIE PUGH L.P.N 1740576032
VENA M JENKINS PRACTICAL NURSE 1083059620
MS. TRACEY BOYD 1124442975
MISS ANGELA SELENA BRANTLEY LPN 1013327865
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.