Individual provider · Type 1 NPI
Nicole Marie Wanek, RN, DNP, AGA-CNP BC
Acute Care Nurse Practitioner · Detroit, MI
NPI number
1114738747
Active
Practice location
4100 John R St
Detroit, MI 48201-2013
Mailing address
61815 North Ave
Ray, MI 48096-3324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 4704293074 (MI) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 4704293074 (MI) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1114738747
Nicole Marie Wanek, RN, DNP, AGA-CNP BC's National Provider Identifier is 1114738747, issued on Jan 14, 2025. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Detroit, MI. The record was last updated on Mar 3, 2025.