Individual
CADELIA NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
250 MCDOUGALL ST, DETROIT, MI 48207-4291
(313) 288-7139
Mailing address
23789 AUSTEN, FLAT ROCK, MI 48134-2120
(313) 643-7000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704287169
MI
Other
Enumeration date
11/01/2018
Last updated
01/29/2023
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