Individual
NICOLE A GAGLIARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15200 GRATIOT, DETROIT, MI 48205
(313) 924-8495
(313) 924-8472
Mailing address
15200 GRATIOT, DETROIT, MI 48205
(313) 924-8495
(313) 924-8472
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
4704278477
MI
363LF0000X
Family Nurse Practitioner
Primary
4704278477
MI
Other
Enumeration date
08/18/2015
Last updated
08/21/2024
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