Nicole Irene Back
Nurse Practitioner
5758 Cooley Lake Rd, Waterford
Michigan, 48327-3073
855-466-3631
Nicole Irene Back is a Waterford, Michigan based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Nicole Irene Back is 4704247636 for Family in Michigan. Her current practice location is 5758 Cooley Lake Rd, Waterford. Patients can reach her at 855-466-3631 with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1013756576.
Nicole Irene Back has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Nicole Irene Back speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Nicole Irene Back |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Practice Address: | 5758 Cooley Lake Rd, Waterford,
Michigan, 48327-3073 |
| Phone: | 855-466-3631 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1013756576 |
| NPI Enumeration Date: | 23 May, 2024 |
| NPI Last Update On: | 06 Mar, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicole Irene Back are as mentioned below.
| License Number | Specialization | State | Status | |
| 4704247636 | Family | Michigan | Primary | |
| 4704247636 | Registered Nurse | Michigan | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Nicole Irene Back
5758 Cooley Lake Rd,
Waterford, Michigan |
| Zip: | 48327-3073 |
| Phone Number: | 855-466-3631 |
Patients can reach Nicole Irene Back at
5758 Cooley Lake Rd, Waterford, Michigan or can
call to book an appointment on 855-466-3631.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.