Individual
MS. NICOLE RENEE PHILIPPART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
33155 ANNAPOLIS ST, WAYNE, MI 48184-2405
(313) 586-5011
Mailing address
33155 ANNAPOLIS ST, WAYNE, MI 48184-2405
(313) 467-4300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704210382
MI
Other
Enumeration date
01/18/2011
Last updated
05/25/2016
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