Individual
NICOLE D LETARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
34301 23 MILE RD, SUITE 100, CHESTERFIELD, MI 48047-4432
(586) 725-1770
(586) 725-4080
Mailing address
34301 23 MILE RD, SUITE 100, CHESTERFIELD, MI 48047-4432
(586) 725-1770
(586) 725-4080
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704285811
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704285811
NURSE PRACTITIONER LICENSE NUMBER
MI
Enumeration date
07/14/2016
Last updated
08/03/2020
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