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

PHANITRA NICOLE WILSON, LPN

Active Sole Proprietor

PHANITRA NICOLE WILSON, LPN is a Licensed Practical Nurse healthcare provider located in LANSING, Michigan. NPI 1619592003 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · LANSING, MI

Registration Details

NPI Number
1619592003
Provider Type
Individual
Gender
Female
NPI Issued
Jun 11, 2020 (6.1809174422687 yrs)
Last Updated
Jun 11, 2020
License
4703120709 (MI)
Sole Proprietor
Yes

Practice Information

Address
2700 EATON RAPIDS RD LOT 184
LANSING, MI, 489116323
Browse MI providers · Browse ZIP 48911
Phone
5175753129
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in LANSING, MI

Name Credential NPI
MS. MARSHA JEANETTE PAGE L.P.N. 1023201738
MS. SUSAN KAY RUSSELL LPN 1477806396
SHARA MARIAM CURRY LPN 1245574813
CYNTHIA BROWN 1508201534
CAROLINE AGBONA 1578970323
LUCAS JAMES EVAN JOSEPH BILA LPN 1669861712
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.