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

Tarra Santreece Booth

Individual provider Nurse's Aide · NPI 1902581747

Tarra Santreece Booth is a Nurse's Aide in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2023

Practice location Address checks out

20101 Appoline St
Detroit, MI 48235-1120
Phone: (248) 565-6697
Show map & directions

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

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X · Licence 230013951631107 (MI)

Record details

NPI number1902581747
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 20, 2023
Last updated in NPPESJune 20, 2023
Certification dateJune 20, 2023
Mailing address28475 Greenfield Rd Ste 113, Southfield, MI 48076-3034

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