Individual
CHRISTOPHER WAYNE NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
2480 W CAMPUS DR, SUITE 500A, MOUNT PLEASANT, MI 48858-5414
(989) 772-1609
Mailing address
4515 E WALTON RD, SHEPHERD, MI 48883-8519
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704274075
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704274075
MI
Other
Enumeration date
05/21/2013
Last updated
03/17/2014
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