Individual
MS. NICHOL LYNN TUFTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
19933 WEST 13 MILES RD, SOUTHFIELD, MI 48076
(248) 203-9000
Mailing address
4070 ELMHURST RD, WATERFORD, MI 48328
(248) 379-2400
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704250563
MI
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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