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Active NPI 1386007185 Individual Practitioner Female Practitioner

Modesta Enechukwu

Licensed Practical Nurse • Canton, MI

Professional Overview & Biography Verified Profile Summary

Modesta Enechukwu is a registered healthcare professional specializing in Licensed Practical Nurse in Canton, MI. Practice services are available at 6223 N CANTON CENTER RD STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6223 N Canton Center Rd Ste 201

Canton, MI 481872696

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 4703104340

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
Afusat Dallas , LPN

Licensed Practical Nurse

NPI 1114352911

Licensed Practical Nurse

Michael Wade

Licensed Practical Nurse

NPI 1114583127

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 30, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 30, 2016

Registered at 6223 N CANTON CENTER RD STE 201, CANTON, MI 481872696 (Tel: 7348446533)

📍
Updated Business Mailing Address March 30, 2016

Registered at 6223 N CANTON CENTER RD STE 201, CANTON, MI 481872696 (Tel: 7348446533)

👤
Provider Name / Credentials Updated March 30, 2016

Recorded as MODESTA ENECHUKWU

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2016

Licensed Practical Nurse (License #4703104340 in MI)

🟢
Initial NPI Registration & Enumeration March 30, 2016

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: 1386007185
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2016
Last Update: March 30, 2016
Sole Proprietor: No

Mailing Address

6223 N Canton Center Rd Ste 201

Canton, MI 481872696

Phone: 7348446533

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.