Individual
NICOLE MARIE SPECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2800 STONE SCHOOL RD, ANN ARBOR, MI 48104-7434
(734) 973-9167
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704207836
MI
363LF0000X
Family Nurse Practitioner
4704207836
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50-0-H2-0189-0
BCBS MI NP GROUP
MI
05
—
77 4631518
—
MI
Enumeration date
08/09/2005
Last updated
10/28/2025
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