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Individual
NICOLE URBON
Active
Individual
NICOLE URBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
4704299091
MI
363LG0600X
Gerontology Nurse Practitioner
Primary
4704299091
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704299091
MI
Other
Enumeration date
01/31/2024
Last updated
09/15/2026
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