Individual
NICOLE TEETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2420 OWEN RD STE A, FENTON, MI 48430-3417
(810) 496-2500
(810) 629-0415
Mailing address
2420 OWEN RD STE A, FENTON, MI 48430-3417
(810) 496-2500
(810) 629-0415
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704341973
MI
Other
Enumeration date
07/08/2022
Last updated
11/27/2023
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