SHANITA BLEVINS RN NPI 1770105389

NPI Information

NPI: 1770105389
Provider Name: SHANITA BLEVINS, RN
Classification: Registered Nurse - 163WH0200X
Entity Type: Individual

Specialization: Home Health

Address:
19962 FERGUSON ST
DETROIT, MI
ZIP 48235
Phone: (313) 352-2774
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Shanita Blevins, RN is a home health registered nurse in Detroit, MI. Shanita Blevins, RN NPI is 1770105389. 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:

19962 FERGUSON ST
DETROIT, MI
ZIP 48235-431
Phone: (313) 352-2774

The enumeration date for this NPI number is 5/18/2020 and was last updated on 5/18/2020.

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	163WH0200X	Registered Nurse	Home Health	4704343996	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: 11/14/2023

NPI Synchronization or Removal

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