Nicole Irene Back
Nicole Irene Back is a Nurse Practitioner in Waterford, Michigan. Qualified in 2024, 2 years ago. Practices with Clinton Urgent Care Walk in Clinic, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.
- Years since qualifying
- 2
- Licensed in
- MI
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
5758 Cooley Lake RdWaterford, MI 48327-3073
Phone: (855) 466-3631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 4704247636 (MI) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 4704247636 (MI) |
Record details
| NPI number | 1013756576 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 23, 2024 |
| Last updated in NPPES | March 6, 2025 |
| Certification date | March 6, 2025 |
| Mailing address | 5758 Cooley Lake Rd, Waterford, MI 48327-3073 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Clinton Urgent Care Walk In Clinic — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
Other providers in Waterford
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Megan Aubin
1255 N Oakland Blvd, Waterford, MI 48327-1545 · (248) 599-8999
-
Julie Tricia Bowles, RN
279 Summit Dr, Waterford, MI 48328-3364 · (248) 745-4900
-
Mrs. Hannah Rose Cardinale, RN
279 Summit Dr, Waterford, MI 48328-3364 · (248) 745-4900
-
Caring 4 Loved Ones, Inc
3549 Lakeshore Dr, Waterford, MI 48329 · (248) 469-6093
-
Miss. Katie Lenore Clancy, RN
4350 Dixie Hwy, Waterford, MI 48329-3506 · (248) 674-0466