Individual
NICOLE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1474 BMADZEWEN WAY, FULTON, MI 49052-9623
(269) 704-8485
Mailing address
339 HOGAN ST, CENTREVILLE, MI 49032-9549
(269) 503-0707
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704284696
MI
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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