Individual
NICOLE ELIZABETH KEVERNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2316 S CEDAR ST, LANSING, MI 48910-3152
(517) 887-4302
(517) 887-4625
Mailing address
1406 PETTIS ST, LANSING, MI 48910-1150
(269) 666-3277
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
109728443
MI
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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