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Individual

DEANNA HUMPHREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
18000 W 9 MILE RD STE 525, SOUTHFIELD, MI 48075-4080
(248) 327-6196
(877) 311-5596
Mailing address
4020 COPPER VW STE 104, TRAVERSE CITY, MI 49684-7041
(231) 421-6921

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704270713
MI

Other

Enumeration date
07/20/2020
Last updated
04/15/2026
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