Individual
NICOLE ASHLEY BORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 COLUMBUS AVE, BAY CITY, MI 48708-6831
(248) 697-7268
Mailing address
7204 E GRAND RIVER AVE LOT 307, PORTLAND, MI 48875-8824
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704288193
MI
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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