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Nicole Elizabeth Keverne

Community Health Worker in Lansing, MI. Individual provider (NPI-1).

NPI number1942005343
StatusActive
Last updated in NPPESFeb 18, 2025

Details

NPI
1942005343
Entity type
Individual (NPI-1)
Name
Nicole Elizabeth Keverne
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 18, 2025
Certification date
Feb 18, 2025
Last updated
Feb 18, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker109728443MIYes

Practice location

2316 S Cedar St
Lansing, MI 48910-3152

Phone 517-887-4302 · Fax 517-887-4625

Mailing address

1406 Pettis St
Lansing, MI 48910-1150

Phone 269-666-3277

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