Tyra Hawthorne
Tyra Hawthorne is a Licensed Practical Nurse in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2023.
- Licensed in
- MI
- In the registry since
- 2023
Practice location Address checks out
11464 Nashville StDetroit, MI 48205-3237
Phone: (313) 694-7290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 4703122040 (MI) |
|---|
Record details
| NPI number | 1619675139 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 23, 2023 |
| Last updated in NPPES | February 23, 2023 |
| Certification date | February 23, 2023 |
| Mailing address | 11464 Nashville St, Detroit, MI 48205-3237 |
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