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

TYRA HAWTHORNE

Active

TYRA HAWTHORNE is a Licensed Practical Nurse healthcare provider located in DETROIT, Michigan. NPI 1619675139 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · DETROIT, MI

Registration Details

NPI Number
1619675139
Provider Type
Individual
Gender
Female
NPI Issued
Feb 23, 2023 (3.4667635261615 yrs)
Last Updated
Feb 23, 2023
License
4703122040 (MI)

Practice Information

Address
11464 NASHVILLE ST
DETROIT, MI, 482053237
Browse MI providers · Browse ZIP 48205
Phone
3136947290
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in DETROIT, MI

Name Credential NPI
DAWANDA COOPER LPN 1114965282
CHRISTINE DELKS LPN 1649366402
MRS. JOY LYNETTE JACKSON LPN 1801932090
MRS. D'ANN A FAULKS-BLOUNT LPN 1285772681
DOROTHY CARR 1356466981
MRS. SHERRY ESTELL MITCHELL LPN 1235352246
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.