Organization
CAIDEN WELLNESS CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CADELIA NICHOLAS NP (ADMINISTRATOR)
(313) 643-7000
Entity
Organization
Contact information
Practice address
23789 AUSTEN, FLAT ROCK, MI 48134-2120
(313) 643-7000
Mailing address
23789 AUSTEN, FLAT ROCK, MI 48134-2120
(313) 673-7000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
01/08/2022
Last updated
01/08/2022
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