Individual
DEBORAH SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1212 E SHERMAN BLVD, MUSKEGON, MI 49444-1879
(231) 672-3648
Mailing address
PO BOX 1847, MUSKEGON, MI 49443-1847
(231) 727-4444
(231) 727-4451
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704152666
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4623490
—
MI
Enumeration date
07/27/2006
Last updated
05/03/2017
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