Individual provider · Type 1 NPI
Maia Humble
Licensed Practical Nurse · Detroit, MI
NPI number
1790680023
Active
Practice location
3737 Lawton St
Detroit, MI 48208-2500
Mailing address
37097 Brynford Dr
Clinton Township, MI 48036-2402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 4703129261 (MI) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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About NPI 1790680023
Maia Humble's National Provider Identifier is 1790680023, issued on Oct 8, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Detroit, MI. The record was last updated on Oct 8, 2026.