Healthcare Provider Details

I. General information

NPI: 1851329338
Provider Name (Legal Business Name): UMEIKA MAKITA GRIFFITH STEPHENS APRN, BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26520 GRAND RIVER AVE
REDFORD MI
48240-1506
US

IV. Provider business mailing address

24550 LAFAYETTE CIR
SOUTHFIELD MI
48075-6803
US

V. Phone/Fax

Practice location:
  • Phone: 313-533-5652
  • Fax: 313-533-5644
Mailing address:
  • Phone: 313-408-5091
  • Fax: 313-533-5652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704207703
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: