MRS. SCHAWANA THAXTON NP NPI 1306928395

NPI Information

NPI: 1306928395
Provider Name: MRS. SCHAWANA THAXTON, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
11260 E JEFFERSON AVE
DETROIT, MI
ZIP 48214
Phone: (313) 749-0148
Get Directions

MRS. Schawana Thaxton, NP is an adult health nurse practitioner in Detroit, MI. MRS. Schawana Thaxton, NP NPI is 1306928395. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11260 E JEFFERSON AVE
DETROIT, MI
ZIP 48214-320
Phone: (313) 749-0148
Fax: (313) 263-3298

The NPI 1306928395 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 6/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	4704221417	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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