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Individual

MS. DARLENE ANN DOUTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, BC

Contact information

Practice address
41100 FOX RUN, NOVI, MI 48377-4804
(248) 668-8650
(248) 668-8651
Mailing address
5525 RESEARCH PARK DRIVE, 4TH FLOOR, BALTIMORE, MD 21228-4664
(248) 668-8650
(248) 668-8651

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704126904
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704126904
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1396852265
MI
01
5008663690
BCBS OF MI
01
8305187
EVERCARE
Enumeration date
08/24/2006
Last updated
01/22/2015
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