Individual
MS. NICOLETTE SYLVIA KOWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, ACNS-BC
Contact information
Practice address
130 WASHINGTON ST, MARINE CITY, MI 48039-1680
(810) 765-8750
(810) 765-4326
Mailing address
130 WASHINGTON ST, MARINE CITY, MI 48039-1680
(810) 765-8750
(810) 765-4326
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704175100
MI
363LF0000X
Family Nurse Practitioner
APRN.CNP.0031410
OH
363LF0000X
Family Nurse Practitioner
APRN11024553
FL
363LF0000X
Family Nurse Practitioner
NP71014218A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154447464
NPPES
MI
Enumeration date
09/02/2006
Last updated
04/22/2025
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