MRS. NICOLLE BOIVIN CPNP-AC NPI 1639611916

NPI Information

MRS. Nicolle Boivin, CPNP-AC is a pediatrics nurse practitioner in Detroit, MI. MRS. Nicolle Boivin, CPNP-AC NPI is 1639611916. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3950 BEAUBIEN
CHM SPEC CTR. GARDEN LEVEL
DETROIT, MI
ZIP 48201
Phone: (313) 832-8871
Fax: (313) 966-7445

The NPI 1639611916 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/17/2016 and was last updated on 4/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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