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Individual

NISHA NAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
80 E HANCOCK ST, APT #704, DETROIT, MI 48201-1311
(954) 552-3093
Mailing address
80 E HANCOCK ST, APT #704, DETROIT, MI 48201-1311
(954) 552-3093

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704265399
MI
163W00000X
Registered Nurse
RN9225817
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003682258
HMO
MI
Enumeration date
02/09/2010
Last updated
02/09/2010
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