Nicole Armour
Individual provider Active NPI Specialist · Grand Rapids, MI
NPI 1629425871 · NPPES record last updated Sep 12, 2016
Key facts
- NPI
- 1629425871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 1131 Ionia Ave NW
Grand Rapids, MI 49503-1020 - Phone
- (616) 259-7900
- Fax
- (616) 259-7909
- NPI assigned
- May 18, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interact of Michigan, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
1131 Ionia Ave NW
Grand Rapids, MI 49503-1020
Mailing address
1131 Ionia Ave NW
Grand Rapids, MI 49503-1020
Phone (616) 259-7900
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.