Individual
NOEL LYNN DESHANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
81 N-I75 BL, GRAYLING, MI 49738
(989) 348-7400
Mailing address
1386 FISHER RD, TRAVERSE CITY, MI 49685-9287
(231) 944-6322
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704329848
MI
Other
Enumeration date
08/15/2022
Last updated
06/24/2025
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