Provider Demographics
NPI:1235011859
Name:TINSLEY, ANDRE DEMITRIUS II (CNA)
Entity type:Individual
Prefix:MR
First Name:ANDRE
Middle Name:DEMITRIUS
Last Name:TINSLEY
Suffix:II
Gender:M
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43313 WOODWARD AVE # 1190
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-5007
Mailing Address - Country:US
Mailing Address - Phone:313-920-1288
Mailing Address - Fax:
Practice Address - Street 1:14151 15 MILE RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48312-5507
Practice Address - Country:US
Practice Address - Phone:313-920-1288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIMI000063563376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide