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Nicole Wieber, CPNP

Nurse Practitioner, Pediatrics in Lansing, MI. Individual provider (NPI-1).

NPI number1194154476
StatusActive
Last updated in NPPESAug 27, 2014

Details

NPI
1194154476
Entity type
Individual (NPI-1)
Name
Mrs. Nicole Wieber
Credential
CPNP
Sex
Female
Sole proprietor
No
Enumeration date
Nov 6, 2013
Last updated
Aug 27, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics4704242538MIYes

Practice location

1200 E Michigan Ave
Ste 145
Lansing, MI 48912-1837

Phone 517-364-5440 · Fax 517-364-5409

Mailing address

1200 E Michigan Ave
Ste 145
Lansing, MI 48912-1837

Phone 517-364-5440 · Fax 517-364-5409

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