Individual provider · Type 1 NPI

Nicole Vandamme, PA

Physician Assistant · Clinton Township, MI

NPI number 1154926277 Active

Practice location

15855 19 Mile Rd Ste 3A
Clinton Township, MI 48038-3504

Call (586) 236-2370 Map

Mailing address

36514 Tarpon Dr
Sterling Heights, MI 48312-3076

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	5601010251 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1154926277

Nicole Vandamme, PA's National Provider Identifier is 1154926277, issued on Dec 4, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Clinton Township, MI. The record was last updated on Aug 21, 2026.