Individual
MS. CLAIRE ELIZABETH NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30300 TELEGRAPH RD STE 310, BINGHAM FARMS, MI 48025-5822
(248) 468-1889
(248) 419-2453
Mailing address
30300 TELEGRAPH RD STE 310, BINGHAM FARMS, MI 48025-5822
(248) 569-3704
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008397
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601008397
NCCPA
MI
Enumeration date
09/14/2017
Last updated
09/13/2023
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