Individual
NICOLE LYNNE AUDRITSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4669 E 8 MILE RD, WARREN, MI 48091-2709
(313) 416-6200
(313) 221-9799
Mailing address
16854 COUNTRY CLUB DR, LIVONIA, MI 48154-2174
(734) 751-5056
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704291959
MI
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
06/26/2017
Last updated
10/14/2021
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