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Active NPI 1114352911 Individual Practitioner Female Practitioner

Afusat Dallas , LPN

Licensed Practical Nurse • Canton, MI

Professional Overview & Biography Verified Profile Summary

Afusat Dallas, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Canton, MI. Practice services are available at 5840 N CANTON CENTER RD STE 212 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5840 N Canton Center Rd Ste 212

Canton, MI 481872614

Telephone 7348446533
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Canton, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
96 Specialists

Practicing in Canton, MI (4550 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MI 4703108850

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

39 Associated Practitioners
Elizabeth Muli

Licensed Practical Nurse

NPI 1023576113
Andrea Mccormick

Registered Nurse

NPI 1033713367
Ibiyemi Omole

Licensed Practical Nurse

NPI 1083085674
Michelle Onwenu

Licensed Practical Nurse

NPI 1104227958
Michael Wade

Licensed Practical Nurse

NPI 1114583127
Jetrude Ahiwe , LPN

Licensed Practical Nurse

NPI 1154153484

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 11, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 11, 2013

Registered at 5840 N CANTON CENTER RD STE 212, CANTON, MI 481872614 (Tel: 7348446533)

📍
Updated Business Mailing Address September 11, 2013

Registered at 8950 ARNOLD, REDFORD, MI 482391528 (Tel: 3137393025)

👤
Provider Name / Credentials Updated September 11, 2013

Recorded as AFUSAT DALLAS, L.P.N.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2013

Licensed Practical Nurse (License #4703108850 in MI)

🟢
Initial NPI Registration & Enumeration September 11, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114352911
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2013
Last Update: September 11, 2013
Sole Proprietor: No

Mailing Address

8950 Arnold

Redford, MI 482391528

Phone: 3137393025

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.