Speck, Nicole Marie
Speck, Nicole Marie is an individual health care provider with primary practice located at 2800 Stone School Road Room 112, Ann Arbor MI 48104. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Speck, Nicole Marie can be contacted via phone (734) 973-9367.Contact Information
Primary practice address
2800 Stone School Road Room 112
Ann Arbor MI 48104
Phone: (734) 973-9367
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704207836 | Michigan |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4704207836 | Michigan |
Profile Details
| NPI number | 1619978145 |
|---|---|
| LBN Legal business name | Speck, Nicole Marie |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Jan 4th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619978145 | NPPES |
| Michigan | Other | 50-0-H2-0189-0 | BCBS MI NP GROUP |
| Michigan | MEDICAID | 77 4631518 | BCBS MI NP GROUP |
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