Wesley, Nicole Elise

Wesley, Nicole Elise is an individual health care provider with primary practice located at 401 S Ballenger Hwy Attn Surgical Services, Flint MI 48532-3638. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Wesley, Nicole Elise can be contacted via phone (810) 342-4917.

Contact Information

Primary practice address
401 S Ballenger Hwy Attn Surgical Services Flint MI 48532-3638
Phone: (810) 342-4917
Fax: (810) 342-1335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704205266 Michigan

Profile Details

NPI number 1003889841
LBN Legal business name Wesley, Nicole Elise
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Dec 12th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003889841 NPPES
Michigan Other NW205266 BLUE SHIELD
Michigan Other 430069139 BLUE SHIELD
Michigan MEDICAID 4180266 BLUE SHIELD

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