NPI 1326448762

Michael Street

Practitioner Licensed Vocational Nurse Fort Stewart, GA

Practice location

Address: 1061 Harmon Ave, Fort Stewart, GA 31314-5641
Phone: (912) 435-6762

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence 227858 (TX)

Other Licensed Vocational Nurse providers in Georgia →

Registry record

NPI: 1326448762
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Sep 2014
Record last updated: 3 Sep 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.