Wieber, Nicole

Wieber, Nicole is an individual health care provider with primary practice located at 1200 E Michigan Ave Ste 145, Lansing MI 48912-1837. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Wieber, Nicole can be contacted via phone (517) 364-5440.

Contact Information

Primary practice address
1200 E Michigan Ave Ste 145 Lansing MI 48912-1837
Fax: (517) 364-5409
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 4704242538 Michigan

Profile Details

NPI number 1194154476
LBN Legal business name Wieber, Nicole
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2013
Last updated Aug 27th, 2014 - about 11 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 1194154476 NPPES
Michigan MEDICAID 1194154476

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