Individual
NICHOLE MAURINE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12800 E WARREN AVE, DETROIT, MI 48215-2061
(877) 242-4140
Mailing address
8650 AGNES ST APT 4, DETROIT, MI 48214-2863
(313) 544-3033
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704231704
MI
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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