Eva Dafoe
Individual provider Active NPI Licensed Practical Nurse · Pinconning, MI
NPI 1093499485 · NPPES record last updated Jun 14, 2023
Key facts
- NPI
- 1093499485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 4703099331 (MI)
- Practice address
- 127 S Water St
Pinconning, MI 48650-9704 - Phone
- (989) 324-9427
- NPI assigned
- Jun 14, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703099331 | MI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703099331 | MI | Yes |
Addresses
Primary practice location
127 S Water St
Pinconning, MI 48650-9704
Mailing address
127 S Water St
Pinconning, MI 48650-9704
Phone (989) 324-9427
Other providers in Pinconning, MI
- Jennifer Bartkowiak-Wise
- Bayshore Family Chiropractic
- Bayshore Family Chiropractic
- Ashley Blake
- Brent J Raap DO PC
- Elizabeth Irene Dewyse
- Stephaine Ann Fath
- Casandra Finn
- Fish Tales, Inc
- Cassie Foco
All providers in Pinconning, MI · Licensed Practical Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.