Individual
NICOLE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-5000
Mailing address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704251636
MI
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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