Individual
MRS. ANGELA LEE DOBBIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
22575 DEATON DR, SOUTH LYON, MI 48178-9753
(248) 497-0449
Mailing address
22575 DEATON DR, SOUTH LYON, MI 48178-9753
(248) 497-0449
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704215681
MI
363L00000X
Nurse Practitioner
Primary
4704215681
MI
363LA2200X
Adult Health Nurse Practitioner
4704215681
MI
363LG0600X
Gerontology Nurse Practitioner
4704215681
MI
363LP2300X
Primary Care Nurse Practitioner
4704215681
MI
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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