Individual
NICOLE SUSANNE CAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1250 E MICHIGAN AVE, GRAYLING, MI 49738
(989) 348-0550
(989) 348-0473
Mailing address
400 HOBART ST, CADILLAC, MI 49601-2331
(231) 876-7807
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704296224
MI
Other
Enumeration date
08/08/2018
Last updated
10/26/2020
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