Healthcare Provider Details

I. General information

NPI: 1154926277
Provider Name (Legal Business Name): NICOLE TOPPING PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2020
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15855 19 MILE RD STE 3A
CLINTON TWP MI
48038-3504
US

IV. Provider business mailing address

44185 MEADOWLAKE DR
STERLING HEIGHTS MI
48313-1136
US

V. Phone/Fax

Practice location:
  • Phone: 586-236-2370
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number5601010251
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: