Individual
NICOLE R BEECHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26211 CENTRAL PARK BLVD STE 116, LATHRUP VILLAGE, MI 48076-4107
(248) 671-3022
Mailing address
6725 DALY RD UNIT 251503, WEST BLOOMFIELD, MI 48325-3262
(248) 277-6011
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
B260630729782
MI
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
MI000055804
MI
405300000X
Prevention Professional
MI000055804
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000055804
STATE OF MICHIGAN
MI
Enumeration date
03/05/2020
Last updated
03/05/2020
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