Individual
NICOLE SHORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17170 MEYERS RD APT 21, DETROIT, MI 48235-1422
(313) 241-2814
Mailing address
17170 MEYERS RD APT 21, DETROIT, MI 48235-1422
(313) 241-2814
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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