Individual
THAM NICHOLS DOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
702 W LAKE LANSING RD, EAST LANSING, MI 48823-8526
(517) 332-5342
(517) 316-2893
Mailing address
702 W LAKE LANSING RD, EAST LANSING, MI 48823-8526
(517) 332-5342
(517) 316-2893
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704283803
MI
363LF0000X
Family Nurse Practitioner
4704283803
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704283803
MI
Other
Enumeration date
06/21/2018
Last updated
08/01/2023
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