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Individual

NICORYA SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
21701 W 11 MILE RD STE 11, SOUTHFIELD, MI 48076-3713
(313) 969-7292
(313) 731-0144
Mailing address
21701 W 11 MILE RD STE 11, SOUTHFIELD, MI 48076-3713
(313) 969-7292
(313) 731-0144

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704273449
MI

Other

Enumeration date
11/18/2021
Last updated
08/25/2025
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