Individual
NICHOLAS BADGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
1521 GULL RD, KALAMAZOO, MI 49048-1666
(269) 226-4834
Mailing address
1103 SYMES CT, ROYAL OAK, MI 48067-1569
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
4704284839NSA18929
MI
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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