Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE IRENE BACK
ActiveFamily Nurse Practitioner · WATERFORD, MI
Registration Details
- NPI Number
- 1013756576
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 23, 2024 (1.9130568445216 yrs)
- Last Updated
- Mar 6, 2025
- Licenses
-
4704247636 (MI)4704247636 (MI)
Practice Information
- Address
-
5758 COOLEY LAKE RDWATERFORD, MI, 483273073Browse MI providers · Browse ZIP 48327
- Phone
- 8554663631
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in WATERFORD, MI
| Name | Credential | NPI |
|---|---|---|
| DENISE J NEUBAUER | DNP | 1487749578 |
| MS. BRENDA J POPE | RN, MSN, FNP-BC | 1568519593 |
| MS. MICHELLE THOMAS | NP | 1306994090 |
| MRS. LAURA ELIZABETH SYCHTA | N.P. | 1548571862 |
| JESSICA GOETH | FNP-BC, MSN | 1629412309 |
| MARGARET EUGENIA HAGLUND | R.N., M.S.N., FNP-BC | 1194141457 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.