Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amicah Desiray Tolbert

Individual provider Licensed Practical Nurse · NPI 1063972800

Amicah Desiray Tolbert is a Licensed Practical Nurse in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019

Practice location Address checks out

17608 Gateway Cir
Southfield, MI 48075-4718
Phone: (248) 238-9195
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703112807 (MI)

Record details

NPI number1063972800
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 20, 2019
Last updated in NPPESMarch 20, 2019
Mailing address17608 Gateway Cir, Southfield, MI 48075-4718

Other providers in Southfield