| Miss Nichole Angilic Degree, LPN | |
|
1431 Washington Blvd Apt 2306, Detroit, MI 48226-1728 | |
| (414) 630-0379 | |
| Not Available |
| Full Name | Miss Nichole Angilic Degree |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 1431 Washington Blvd Apt 2306, Detroit, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861734816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 309638-31 (Wisconsin) | Secondary |
| 164W00000X | Licensed Practical Nurse | 4703119998 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Nichole Angilic Degree, LPN 1431 Washington Blvd Apt 2306, Detroit, MI 48226-1728 Ph: (414) 630-0379 | Miss Nichole Angilic Degree, LPN 1431 Washington Blvd Apt 2306, Detroit, MI 48226-1728 Ph: (414) 630-0379 |
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