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Nicole Ashley Peralta

Student in an Organized Health Care Education/Training Program in Livonia, MI. Individual provider (NPI-1).

NPI number1093237166
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1093237166
Entity type
Individual (NPI-1)
Name
Nicole Ashley Peralta
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 11, 2017
Last updated
Jul 21, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Yes · ORDER AND REFERRING ONLY - FAMILY PRACTICE
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

37595 7 Mile Rd Ste 230
Livonia, MI 48152-1003

Phone 734-853-5694 · Fax 734-430-9388

Mailing address

37595 7 Mile Rd Ste 230
Livonia, MI 48152-1003

Phone 734-853-5694 · Fax 734-430-9388

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Livonia, MI

All 186 Student in an Organized Health Care Education/Training Program providers in Livonia · All 6,099 providers in Livonia

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