Individual provider · Type 1 NPI
Marlon Nicdao
Acute Care Nurse Practitioner · Detroit, MI
NPI number
1225673114
Active
Practice location
3990 John R St
Detroit, MI 48201-2018
Mailing address
4700 Greenfield Rd Ste 2E
Dearborn, MI 48126-4124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 4704289739 (MI) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1225673114
Marlon Nicdao's National Provider Identifier is 1225673114, issued on Nov 14, 2019. 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 Nov 14, 2019.