Individual provider · Type 1 NPI

Cadelia Nicholas, NURSE PRACTITIONER

Nurse Practitioner · Detroit, MI

NPI number 1992272496 Active

Practice location

250 Mcdougall St
Detroit, MI 48207-4291

Mailing address

23789 Austen
Flat Rock, MI 48134-2120

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704287169 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1992272496

Cadelia Nicholas, NURSE PRACTITIONER's National Provider Identifier is 1992272496, issued on Nov 1, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Detroit, MI. The record was last updated on Jan 29, 2023.