| Nicole Irene Back, | |
|
22213 Love St, Saint Clair Shores, MI 48082 | |
| (734) 626-4672 | |
| Not Available |
| Full Name | Nicole Irene Back |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 22213 Love St, Saint Clair Shores, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013756576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704247636 (Michigan) | Primary |
| 163W00000X | Registered Nurse | 4704247636 (Michigan) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Irene Back, 22213 Love St, Saint Clair Shores, MI 48082 Ph: (734) 626-4672 | Nicole Irene Back, 22213 Love St, Saint Clair Shores, MI 48082 Ph: (734) 626-4672 |
Carrie L Anderson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081 Phone: 586-771-4820 Fax: 586-771-6620 | |
Jennifer Kulinski, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24800 Ursuline St, Saint Clair Shores, MI 48080 Phone: 586-945-5088 | |
Mrs. Ayesha Massey Bennett, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25200 Little Mack Ave, Saint Clair Shores, MI 48081 Phone: 586-884-5656 | |
Meghan Martinovski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25200 Little Mack Ave, Saint Clair Shores, MI 48081 Phone: 586-884-5656 | |
Mr. Ronald August Bonaventura Jr., Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22432 Harper Lake Ave, Saint Clair Shores, MI 48080 Phone: 586-557-8398 | |
Patricia West, PHD, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24911 Little Mack Ave, Suite C, Saint Clair Shores, MI 48080 Phone: 586-447-9070 |