Fatimah Adams, L.P.N.

Individual provider Active NPI Licensed Practical Nurse · Canton, MI

NPI 1447685243 · NPPES record last updated Sep 11, 2013

Key facts

NPI
1447685243
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
4703099747 (MI)
Practice address
5840 N Canton Center Rd Ste 212
Canton, MI 48187-2614
Phone
(734) 844-6533
NPI assigned
Sep 11, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4703099747MIMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Dependable Healthcare Services,Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 4703099747 MI Yes

Addresses

Primary practice location

5840 N Canton Center Rd Ste 212
Canton, MI 48187-2614

Mailing address

42788 N Dartmoor Cir
Belleville, MI 48111-1790
Phone (248) 298-6227

Other providers in Canton, MI

All providers in Canton, MI · Licensed Practical Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.