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Dajuan Fanning

Licensed Practical Nurse in Southfield, MI · enumerated 2019.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1376102434

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Registry record

Entity type Individual (Type 1)
Name Dajuan Fanning
Sex Male
Practice address 17072 New Hampshire Dr, Southfield, MI, 48075
Phone (313) 213-7470
Enumeration date Jun 11, 2019
Last updated in NPPES Jun 11, 2019

Taxonomy & licenses

372500000X Chore Provider Nursing Service Related Providers Secondary
374U00000X Home Health Aide Nursing Service Related Providers Secondary
405300000X Prevention Professional Other Service Providers · License 4703116420 (MI) Secondary
164W00000X Licensed Practical Nurse Nursing Service Providers · License 4703116420 (MI) Primary

Other identifiers

Identifier Type State Issuer
4703116420 Medicaid MI -
4703116420 Other MI BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Dajuan Fanning?
Dajuan Fanning is registered in NPPES with the primary taxonomy of Licensed Practical Nurse. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-06-11.