Individual
NICOLE DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 CAMPUS DR # 2, HANCOCK, MI 49930-1452
(906) 483-1060
Mailing address
16260 4TH ST, TRIMOUNTAIN, MI 49950
(989) 600-7291
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
4704315850
MI
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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