LAURA PUCKETT


Address: 3990 John R St, 7 Brush N Mailbox 165, Detroit, MI 48201-2018
Phone: 2826821363

LAURA PUCKETT (NPI# 1558894683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558894683
Entity Type Individual
Full Name LAURA PUCKETT
Practice Address 3990 John R St
7 Brush N Mailbox 165
Detroit
MI 48201-2018
Mailing Address 5525 N Stanton St Apt 29g
El Paso
TX 79912-6408
Practice Telephone 2826821363
Mailing Telephone 2816821363
Enumeration Date 2017-04-05
Last Update Date 2017-04-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers LAURA PUCKETT

NPI Name Taxonomy Address Enumeration
1588973580 Laura Puckett Pharmacist 2994 Kildaire Farm Rd, Cary, NC 27518-9614 2010-09-25

Office Location

Street Address 3990 JOHN R ST
7 BRUSH N MAILBOX 165
City DETROIT
State MI
Zip Code 48201-2018

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619959707 Candice Garwood Pharmacist 3990 John R St, Department of Pharmacy, Detroit, MI 48201-2018 2005-11-15
1396342085 Tzu-bou Hsieh Obstetrics & Gynecology 3990 John R St, Detroit, MI 48201-2018 2020-10-06
1558976928 Ashley Mary Asmar Nurse Practitioner 3990 John R St, Detroit, MI 48201-2018 2020-09-12
1871102574 Adam Ryan Mills Registered Nurse 3990 John R St, Detroit, MI 48201-2018 2020-07-28
1033734082 Sean Lang Pharmacist 3990 John R St, Detroit, MI 48201-2018 2020-06-15
1568084259 Carly Victoria Burns Pharmacist 3990 John R St, Detroit, MI 48201-2018 2020-05-15
1154941805 Dustin David Reykdal Student in an Organized Health Care Education/Training Program 3990 John R St, Detroit, MI 48201-2018 2020-04-23
1902426513 Merva N. Gilani Student in an Organized Health Care Education/Training Program 3990 John R St, Detroit, MI 48201-2018 2020-04-23
1659991271 Elisabeth Lederman Wong Student in an Organized Health Care Education/Training Program 3990 John R St, Detroit, MI 48201-2018 2020-04-23
1366080640 Joel David Ziettlow Nurse Anesthetist, Certified Registered 3990 John R St, Detroit, MI 48201-2018 2019-12-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1730707720 Amr Hassan Abdelghaffar Omar Pediatrics 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 2020-07-07
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
1477176576 Jaudat Fatima Masood Student in an Organized Health Care Education/Training Program 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 2020-05-22
1205459419 Amit Kumar Dahiya Student in an Organized Health Care Education/Training Program 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 2020-05-21
1851914188 Asra Nausheen Shaik Student in an Organized Health Care Education/Training Program 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 2020-05-21
1568085751 Camille Olechowski Student in an Organized Health Care Education/Training Program 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 2020-05-21
Find all providers in zip 48201

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013514702 Leeza Fortner Student in an Organized Health Care Education/Training Program 259 Mack Ave Ste 4514, Detroit, MI 48201-2427 2020-10-06
1174132583 Odei Alayyas Student in an Organized Health Care Education/Training Program 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 2020-07-31
1912516790 Omar Choudhury Student in an Organized Health Care Education/Training Program Henroy Ford Hospital, Medical Education Department ., 2799 W. Grand Boulevard, Detroit, MI 48202-2608 2020-07-28
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1932725959 Devonn Eli Israil Student in an Organized Health Care Education/Training Program 4201 Saint Antoine St Rm 2d, Detroit, MI 48201-2153 2020-06-25
1457976292 Ali Nauman Khan Student in an Organized Health Care Education/Training Program Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 2020-06-08
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
Find all providers in DETROIT

Competitor

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City DETROIT
Zip Code 48201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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