Individual
KIMBERLE S DELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS APRN-BC
Contact information
Practice address
18181 OAKWOOD BLVD, SUITE 208, DEARBORN, MI 48124-5032
(313) 271-5565
Mailing address
18181 OAKWOOD BLVD, SUITE 208, DEARBORN, MI 48124-5032
(313) 271-5565
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
4704113984
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704113984
STATE LICENSE
MI
Enumeration date
02/25/2008
Last updated
02/25/2008
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