Provider Demographics
NPI:1649675265
Name:LAUNDERS, NICHOLE (RN)
Entity type:Individual
Prefix:
First Name:NICHOLE
Middle Name:
Last Name:LAUNDERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13535 ROSEDALE ST
Mailing Address - Street 2:
Mailing Address - City:SOUTHGATE
Mailing Address - State:MI
Mailing Address - Zip Code:48195-1732
Mailing Address - Country:US
Mailing Address - Phone:734-512-7176
Mailing Address - Fax:
Practice Address - Street 1:13535 ROSEDALE ST
Practice Address - Street 2:
Practice Address - City:SOUTHGATE
Practice Address - State:MI
Practice Address - Zip Code:48195-1732
Practice Address - Country:US
Practice Address - Phone:734-512-7176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-24
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704301314163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse