Individual
AUDRA J NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
43740 N GROESBECK HWY, CLINTON TOWNSHIP, MI 48036-1139
(586) 469-7629
Mailing address
43740 N GROESBECK HWY, CLINTON TOWNSHIP, MI 48036-1139
(586) 469-7629
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704264347
MI
Other
Enumeration date
03/04/2013
Last updated
03/05/2013
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