NPI 1003309063

Marquita Outlaw, RN

Practitioner Registered Nurse Detroit, MI

Practice location

Address: 8290 Coyle St, Detroit, MI 48228
Phone: (313) 510-8545
Mailing address: 3319 Greenfield Rd # 145, Dearborn, MI 48120-1212

Registered specialties (5)

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 4704220007 (MI)

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Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

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In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

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Non-emergency Medical Transport (VAN)

Transportation Services Taxonomy 343900000X

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Personal Care Attendant

Nursing Service Related Providers Taxonomy 3747P1801X

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Registry record

NPI: 1003309063
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jun 2018
Record last updated: 14 Jul 2018

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.