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Individual
NICOLE R FERRARI
Active
Individual
NICOLE R FERRARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006575
MI
363A00000X
Physician Assistant
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12486629
CAQH
—
Enumeration date
10/30/2012
Last updated
03/05/2026
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