Individual
NICHOLE ELIZABETH WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2080 44TH ST SE, KENTWOOD, MI 49508-5299
(616) 685-8100
Mailing address
245 CHERRY ST SE, GRAND RAPIDS, MI 49503-4607
(616) 685-8100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704254664
MI
Other
Enumeration date
01/12/2012
Last updated
12/14/2021
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