Individual
MRS. NICOLE COLLEEN WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNNP
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-3146
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-3146
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
4704195499
MI
Other
Enumeration date
02/27/2008
Last updated
02/27/2008
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