Individual
MRS. MARY CATHERINE DELUCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704127749
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H28865
BLUE CROSS
MI
01
—
1144634403
GROUP NPI HENRY FORD WYANDOTTE
—
Enumeration date
01/06/2006
Last updated
02/21/2017
Update your record
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