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NPI Code Detail

MEDICARE: NICOLE LYNN VASHER PMHNP-BC

MEDICARE: NICOLE LYNN VASHER PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner4704274540MI

General Provider Information

NPI Number : 1508468257
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE LYNN VASHER PMHNP-BC
Provider Business Mailing Address
First Line : 298 HIGHLAND ST
Second Line :
City : WYANDOTTE
State : MI
Zip : 48192-2542
Country : US
Telephone Number : 734-799-3940
Fax Number :
Provider Business Practice Location Address
First Line : 3475 BELLE CHASE WAY
Second Line :
City : LANSING
State : MI
Zip : 48911-4252
Country : US
Telephone Number : 517-744-7389
Fax Number : 517-882-3633
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2020
Last Update Date : 01/23/2026

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