NPI 1063972800

Amicah Desiray Tolbert

Practitioner Licensed Practical Nurse Southfield, MI

Practice location

Address: 17608 Gateway Cir, Southfield, MI 48075-4718
Phone: (248) 238-9195

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 4703112807 (MI)

Other Licensed Practical Nurse providers in Michigan →

Registry record

NPI: 1063972800
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Mar 2019
Record last updated: 20 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.