Provider Demographics
NPI:1851329338
Name:GRIFFITH STEPHENS, UMEIKA (APRN, BC)
Entity Type:Individual
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First Name:UMEIKA
Middle Name:
Last Name:GRIFFITH STEPHENS
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Gender:F
Credentials:APRN, BC
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Mailing Address - Street 1:19401 HUBBARD DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-2641
Mailing Address - Country:US
Mailing Address - Phone:313-982-8159
Mailing Address - Fax:313-982-8493
Practice Address - Street 1:19401 HUBBARD DR
Practice Address - Street 2:SUITE 200
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2641
Practice Address - Country:US
Practice Address - Phone:313-982-8159
Practice Address - Fax:313-982-8493
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2023-08-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4704207703363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4439300Medicaid
MIP34780009Medicare UPIN
MIP58190Medicare UPIN
MI4439300Medicaid