MR. MICHAEL ALPHONSO DREW LPN LPN
NPI 1104549971
Licensed Practical Nurse in Detroit, MI

Active since September 26, 2022
4646 JOHN R ST, DETROIT, MI 48201(313) 576-1000 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Michael Alphonso Drew Lpn Lpn NPPES

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

MR. MICHAEL ALPHONSO DREW LPN LPN (NPI 1104549971) is an individual licensed practical nurse in Detroit, Michigan, licensed in Michigan (470306596) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1104549971
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMR. MICHAEL ALPHONSO DREW LPNCredential: LPN
Location Address4646 JOHN R STDetroit, MI 48201-1916
Mailing Address15485 S Plaza DrTaylor, MI 48180-5265 · (313) 549-2596
Sole ProprietorNo
Enumeration DateSeptember 26, 2022
NPPES CertifiedSeptember 26, 2022
NPI 1104549971 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 · 470306596
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.
4646 JOHN R ST, Detroit, MI 48201

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
4646 JOHN R ST
DETROIT, MI 48201
Registered Nurse (Medical-Surgical)
4646 JOHN R ST
DETROIT, MI 48201
Registered Nurse (Gastroenterology)
4646 JOHN R ST
DETROIT, MI 48201
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Licensed Practical Nurse
4646 JOHN R ST
DETROIT, MI 48201
Religious Nonmedical Practitioner
4646 JOHN R ST
DETROIT, MI 48201

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 Michael Drew Lpn's NPI number?

The NPI number for Michael Drew Lpn is 1104549971. It was assigned to this individual provider in the NPPES registry on September 26, 2022.

Where is Michael Drew Lpn located?

Michael Drew Lpn practices at 4646 John R St, Detroit, MI 48201. The listed phone number is (313) 576-1000.

What is Michael Drew Lpn'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 Michael Drew Lpn was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.