NICOLE REA NPI 1992465728

NPI Information

  • NPI: 1992465728
  • Provider Name: NICOLE REA
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 29500 SOUTHFIELD RD STE 100
    SOUTHFIELD, MI
    ZIP 48076
  • Phone: (248) 880-7780

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NPI Details

Nicole Rea is a psychiatric/mental health nurse practitioner in Southfield, MI. Nicole Rea NPI is 1992465728. 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:

29500 SOUTHFIELD RD STE 100
SOUTHFIELD, MI
ZIP 48076-036
Phone: (248) 880-7780

The enumeration date for this NPI number is 12/21/2021 and was last updated on 7/23/2024.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health4704279021MICHIGANYes
2163WP0808XRegistered NursePsychiatric/Mental Health4704279021MICHIGANNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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