NPI 1003225418

Pavi Elle Shanell Poole

Practitioner Licensed Practical Nurse Detroit, MI

Practice location

Address: 16874 Avon Ave, Detroit, MI 48219-4143
Phone: (734) 837-2229

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 4703113526 (MI)

Other Licensed Practical Nurse providers in Michigan →

Registry record

NPI: 1003225418
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Aug 2014
Record last updated: 11 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.