Healthcare Provider Details

I. General information

NPI: 1235508045
Provider Name (Legal Business Name): NICOLE HELLER STEINBERG DNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2015
Last Update Date: 11/26/2024
Certification Date: 11/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31350 TELEGRAPH RD STE 102
BINGHAM FARMS MI
48025-4366
US

IV. Provider business mailing address

31350 TELEGRAPH RD STE 102
BINGHAM FARMS MI
48025-4366
US

V. Phone/Fax

Practice location:
  • Phone: 248-663-0161
  • Fax:
Mailing address:
  • Phone: 248-663-0161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209013079
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704418789
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: