Individual
NICOLE MARIE O'MEARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15959 HALL RD STE LL104, MACOMB, MI 48044-5364
(586) 799-1212
(586) 799-1210
Mailing address
15959 HALL RD STE LL104, MACOMB, MI 48044-5364
(586) 799-1212
(586) 799-1210
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704327075
MI
Other
Enumeration date
05/25/2022
Last updated
05/11/2026
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