Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Nicolle Boivin, CPNP-AC

Individual provider Pediatric Nurse Practitioner · NPI 1639611916

Mrs. Nicolle Boivin, CPNP-AC is a Pediatric Nurse Practitioner in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016

Practice location Address checks out

3950 Beaubien Chm Spec Ctr Garden Level
Detroit, MI 48201
Phone: (313) 832-8871
Fax: (313) 745-3012
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 4704253133 (MI)

Record details

NPI number1639611916
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-AC
Sole proprietorNo
NPI enumeratedNovember 17, 2016
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024

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