Search › Michigan › 363A00000X
Marisa Nichols, PA-C
NPI 1518744499 · on the registry since 2023
Practice
- Address
- 23077 Greenfield Rd Ste 253
Southfield, MI 48075 - Phone
- (248) 559-5950
- Fax
- (248) 559-2103
- Organisation at this address
- Legarius
Kemit Pllc
Ispine Pllc
Daring Corp
Dawn Dme, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 58
Additional practice sites
- 6001 W Outer Dr Ste 340, Detroit, MI
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan