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

Nicholas William Nicoletti

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053042648

Nicholas William Nicoletti is a Student in an Organized Health Care Education/Training Program in Grand Rapids, Michigan. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

15 Michigan St NE
Grand Rapids, MI 49503-2508
Phone: (616) 337-0740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1053042648
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 23, 2022
Last updated in NPPESJune 23, 2022
Certification dateJune 23, 2022

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