Individual
NEDRAE NICHELLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12501 HAMILTON AVE, HIGHLAND PARK, MI 48203-3243
(313) 865-1580
Mailing address
12501 HAMILTON AVE, HIGHLAND PARK, MI 48203-3243
(313) 865-1580
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
4704241724
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4704241724
—
MI
Enumeration date
09/06/2022
Last updated
09/06/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us