Individual
MRS. NICOLLE BOIVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
3950 BEAUBIEN, CHM SPEC CTR. GARDEN LEVEL, DETROIT, MI 48201
(313) 832-8871
(313) 745-3012
Mailing address
4201 ST. ANTOINE, UNIVERSITY PEDIATRICIANS UHC 5D MAILBOX#, DETROIT, MI 48201
(313) 966-5051
(313) 966-0665
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704253133
MI
Other
Enumeration date
11/17/2016
Last updated
08/30/2024
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