Individual
NICHOLE BARNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20520 SUNDERLAND RD, DETROIT, MI 48219-1401
(313) 770-7030
Mailing address
6751 COURCELLES, WEST BLOOMFIELD, MI 48322-1396
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
4703117961
MI
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
372500000X
Chore Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
.
—
MI
Enumeration date
11/29/2022
Last updated
11/29/2022
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