AMICAH DESIRAY TOLBERT NPI 1063972800

NPI Information

Amicah Desiray Tolbert is a licensed practical nurse in Southfield, MI. The provider is a licensed practical nurse 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. Amicah Desiray Tolbert NPI is 1063972800. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17608 GATEWAY CIR
SOUTHFIELD, MI
ZIP 48075-718
Phone: (248) 238-9195

The enumeration date for this NPI number is 3/20/2019 and was last updated on 3/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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