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

Nelvita Gavin

Individual provider Licensed Practical Nurse · NPI 1366102691

Nelvita Gavin is a Licensed Practical Nurse in Lathrup Village, Michigan. Licensed in Michigan. Registered with an NPI since 2021.

Licensed in
MI
In the registry since
2021

Practice location Address checks out

19510 W 11 Mile Rd
Lathrup Village, MI 48076-3234
Phone: (248) 760-8404
Fax: (248) 796-7880
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 4703110439 (MI)

Record details

NPI number1366102691
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 28, 2021
Last updated in NPPESDecember 28, 2021
Certification dateOctober 5, 2021
Mailing address19510 W 11 Mile Rd, Lathrup Village, MI 48076-3234

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