Individual
DEBORAH COMPEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1375 N MAIN ST, LAPEER, MI 48446-1350
(810) 667-5500
Mailing address
401 S BALLENGER HWY, ATTN SURGICAL SERVICES, FLINT, MI 48532-3638
(810) 342-4917
(810) 342-1335
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4704139815
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
6189
NC
367500000X
Certified Registered Nurse Anesthetist
ARNP9398728
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430079173
TRAVELERS MEDICARE
MI
05
—
4304541
—
MI
01
—
DC139815
BLUE SHIELD
MI
Enumeration date
02/09/2006
Last updated
02/23/2024
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