Nicole Prohaska, LPN
Licensed Practical Nurse in Alma, MI. Individual provider (NPI-1).
NPI number1073065249
StatusActive
Last updated in NPPESNov 3, 2016
Details
- NPI
- 1073065249
- Entity type
- Individual (NPI-1)
- Name
- Nicole Prohaska
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2016
- Last updated
- Nov 3, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703099841 | MI | Yes |
Practice location
133 Laura DrAlma, MI 48801-1998
Phone 989-854-1195
Mailing address
133 Laura DrAlma, MI 48801-1998
Phone 989-854-1195
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