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

Mrs. Tyra Godfrey

Individual provider Licensed Practical Nurse · NPI 1679434377

Mrs. Tyra Godfrey is a Licensed Practical Nurse in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

4646 John R St
Detroit, MI 48201-1916
Phone: (313) 576-1000
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 4703128856 (MI)

Record details

NPI number1679434377
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 21, 2025
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025

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