Individual
MRS. LAURA CHRISTINE NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
25910 KELLY RD, ROSEVILLE, MI 48066-4466
(586) 772-3366
Mailing address
29145 BAY POINTE DR, CHESTERFIELD, MI 48047-6029
(586) 634-1563
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704275162NSA190Y7
MI
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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