AMICAH DESIRAY TOLBERT
NPI 1063972800
Licensed Practical Nurse in Southfield, MI

Q: What is Amicah Tolbert's NPI number?

The NPI number for Amicah Tolbert is 1063972800. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Q: What is Amicah Tolbert's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Amicah Tolbert was last updated on March 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 20, 2019

17608 GATEWAY CIR, SOUTHFIELD, MI 48075(248) 238-9195 Get Directions Write a Review

NPPES record last updated: March 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Amicah Desiray Tolbert NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMICAH DESIRAY TOLBERT (NPI 1063972800) is an individual licensed practical nurse in Southfield, Michigan, licensed in Michigan (4703112807) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1063972800

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameAMICAH DESIRAY TOLBERT

Location Address17608 GATEWAY CIRSouthfield, MI 48075-4718

Mailing Address17608 Gateway CirSouthfield, MI 48075-4718 · (248) 238-9195

Phone(248) 238-9195

Sole ProprietorNo

Enumeration DateMarch 20, 2019

✔ NPI 1063972800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in MI · 4703112807

Definition

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.

17608 GATEWAY CIR, Southfield, MI 48075

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amicah Tolbert's NPI number?

The NPI number for Amicah Tolbert is 1063972800. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Amicah Tolbert located?

Amicah Tolbert practices at 17608 Gateway Cir, Southfield, MI 48075. The listed phone number is (248) 238-9195.

What is Amicah Tolbert's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Amicah Tolbert was last updated on March 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.