| Doctor Name: | MS. NICOLE A HERING |
| NPI Number: | 1013229012 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 5601005787 |
| Business Practice Address: | 600 Health Park Blvd Suite G Grand Blanc, MI - 484392558 |
| Business Phone Number: | 8106066444 |
| Business Fax Number: | |
| Mailing Address: | 3495 S Center Rd, BURTON |
| State: | MI |
| Postal Code: | 485191455 |
| Phone Number: | 8104242011 |
| Fax Number: | 8102494037 |
| NPI Enumeration Date: | 07/07/2010 |
| NPI Last Update Date: | 08/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 5601005787 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |