Individual
NICOLE BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CENA
Contact information
Practice address
12851 LAHSER RD APT 1, DETROIT, MI 48223-3267
(313) 742-9767
Mailing address
12851 LAHSER RD APT 1, DETROIT, MI 48223-3267
(313) 742-9767
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
230004592291299
MI
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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