Individual
NICOLE K. MUSIYENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
44201 DEQUINDRE RD STE EC, TROY, MI 48085-1117
(248) 964-5111
(248) 964-5068
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704293223
MI
363LP0200X
Pediatric Nurse Practitioner
4704293223
MI
Other
Enumeration date
11/21/2016
Last updated
07/21/2022
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