Individual
MICHELLE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13630 ORCHARD ST, SOUTHGATE, MI 48195-1315
(734) 624-5038
Mailing address
13630 ORCHARD ST, SOUTHGATE, MI 48195-1315
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
4704217091
MI
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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