Individual
NICOLE MARIE MALDEN BRASHEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
(734) 232-7963
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-64554
HI
363L00000X
Nurse Practitioner
Primary
4704230702
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN-1274
HI LIC.-APRN
HI
01
—
RN-64554
RN LIC
HI
Enumeration date
03/12/2010
Last updated
02/24/2021
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