Individual
NICHOLE ELIZABETH MAZHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
36555 26 MILE RD STE 1100, LENOX, MI 48048-3186
(947) 523-4010
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704321238
MI
363L00000X
Nurse Practitioner
RN2339148
MA
Other
Enumeration date
06/02/2021
Last updated
09/19/2023
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