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

Tanicsha Draper

Individual provider Licensed Practical Nurse · NPI 1891515375

Tanicsha Draper is a Licensed Practical Nurse in Wixom, Michigan. Licensed in Michigan. Registered with an NPI since 2024.

Licensed in
MI
In the registry since
2024

Practice location Address checks out

31121 Wildwood St
Wixom, MI 48393-2625
Phone: (586) 350-1352
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 4703120820 (MI)

Record details

NPI number1891515375
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 10, 2024
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024
Mailing address31121 Wildwood St, Wixom, MI 48393-2625

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