Individual
MS. NANCY L. NICOLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
900 PEELER ST, KALAMAZOO, MI 49008-2380
(269) 345-8618
(269) 345-1508
Mailing address
900 PEELER ST, KALAMAZOO, MI 49008-2380
(269) 345-8618
(269) 345-1508
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704125393
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704125393
MICHIGAN RN LICENSE
MI
Enumeration date
03/09/2007
Last updated
07/08/2007
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