Individual
NICHOLE HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4370
Mailing address
22101 MOROSS RD, DETROIT, MI 48236-2148
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704266351
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704266351
MI
Other
Enumeration date
08/18/2015
Last updated
05/03/2018
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