Individual
NICOLE PHILIPPON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
718 N MACOMB ST, MONROE, MI 48162-7815
(734) 240-8835
Mailing address
740 SAINT ANNE LN, MONROE, MI 48162-3548
(419) 344-9970
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704315954
MI
363LA2100X
Acute Care Nurse Practitioner
4704315954
MI
Other
Enumeration date
06/23/2020
Last updated
11/03/2023
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