Individual
MRS. NICOLE LYNN CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2196
(734) 625-6948
Mailing address
3447 CONSEAR RD, LAMBERTVILLE, MI 48144-9752
(734) 625-6948
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
4704345775
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704345775
MICHIGAN BOARD OF NURSING
MI
Enumeration date
03/11/2022
Last updated
06/30/2022
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