Individual provider · Type 1 NPI

Antiniece Nicole McPhearson

Nurse's Aide · Kalamazoo, MI

NPI number 1184339533 Active

Practice location

719 Butterfly Apt 259
Kalamazoo, MI 49009-3217

Mailing address

4056 Finney Ave
St. Louis, MO 63113-3426

Other practice locations

  • 505 E Kalamazoo Ave Ste A, Kalamazoo, MI 49007-3873 · (314) 728-0474
  • 505 E Kalamazoo Ave, Kalamazoo, MI 49007-3873
  • 505 E Kalamazoo Ave Ste A, Kalamazoo, MI 49007-3873
  • 505 E Kalamazoo Ave Ste A, Kalamazoo, MI 49007-3873

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide Primary 376K00000XNone listed
Licensed Practical Nurse 164W00000X2021036978 (MO)
Nurse's Aide 376K00000X141824 (MO)

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1184339533

Antiniece Nicole McPhearson's National Provider Identifier is 1184339533, issued on Jan 19, 2023. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Kalamazoo, MI. The record was last updated on Jun 16, 2025.