Provider Demographics
NPI:1619734928
Name:MUHAMMAD, DENISE S (RN)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:S
Last Name:MUHAMMAD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:S
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15502 BEAVERLAND ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48223-1473
Mailing Address - Country:US
Mailing Address - Phone:248-242-3286
Mailing Address - Fax:
Practice Address - Street 1:15502 BEAVERLAND ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48223-1473
Practice Address - Country:US
Practice Address - Phone:248-242-3286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704381646163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health