Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dimitria Louise Douglas, LPNNURSE

Individual provider Licensed Practical Nurse · NPI 1407536808

Dimitria Louise Douglas, LPNNURSE is a Licensed Practical Nurse in Canton, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2023

Practice location Address checks out

43825 Michigan Ave
Canton, MI 48188-2551
Phone: (734) 397-3088
Fax: (734) 397-7044
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703080037 (MI)

Record details

NPI number1407536808
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPNNURSE
Sole proprietorYes
NPI enumeratedJuly 20, 2023
Last updated in NPPESJuly 20, 2023
Certification dateJuly 20, 2023

Other providers in Canton