Nicole Irene Back
NPI #1013756576 in Waterford, Michigan
Provider Information
- NPI Number
- 1013756576
- Entity Type
- Individual
- Name
- Nicole Irene Back
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- May 23, 2024
- Last Updated
- Mar 6, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner - Family — Family |
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