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

Nicole Antoinetta Thomas, NP

Individual provider Family Nurse Practitioner · NPI 1063076610

Nicole Antoinetta Thomas, NP is a Nurse Practitioner in Lathrup Village, Michigan. Graduated from University of Cincinnati College of Medicine in 2018, 8 years ago. Practices with Southeast Michigan Medical Associates, PC, a 4-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Trained at
University of Cincinnati College of Medicine
Licensed in
MI
In the registry since
2019
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

18451 W 12 Mile Rd Ste 200
Lathrup Village, MI 48076-2635
Phone: (248) 827-7612
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704268761 (MI)

Record details

NPI number1063076610
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 30, 2019
Last updated in NPPESApril 30, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Southeast Michigan Medical Associates, Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lathrup Village