Individual
NICHOLAS ALAN MOCKERIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1689 WITHERBEE DR, TROY, MI 48084-2685
(734) 276-8030
Mailing address
1689 WITHERBEE DR, TROY, MI 48084-2685
(734) 276-8030
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704285766
MI
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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