Individual
MS. NICOLE A HERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
600 HEALTH PARK BLVD, SUITE G, GRAND BLANC, MI 48439-2558
(810) 606-6444
Mailing address
3495 S CENTER RD, BURTON, MI 48519-1455
(810) 424-2011
(810) 249-4037
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601005787
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295023547
MHP GROUP NPI
MI
01
—
700H273300
BCBSM GROUP PIN MHP
MI
01
—
MI4989
MHP MEDICARE GROUP PIN
MI
Enumeration date
07/07/2010
Last updated
08/15/2014
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