Individual
MRS. DEBORAH ANN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., N.P.
Contact information
Practice address
1428 S LAPEER RD, LAKE ORION, MI 48360-1437
(248) 693-0543
(248) 630-4301
Mailing address
PO BOX 2137, BIRMINGHAM, MI 48012-2137
(248) 693-0543
(248) 630-4301
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
4704185512
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568653780
GROUP NPI
MI
Enumeration date
08/28/2008
Last updated
11/13/2014
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