Individual
ASHLEY N DECRAENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1000 W UNIVERSITY DR STE 202, ROCHESTER, MI 48307-1875
(248) 375-4033
(483) 754-0342
Mailing address
1000 W UNIVERSITY DR STE 202, ROCHESTER, MI 48307-1875
(248) 375-4033
(483) 754-0342
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704290238
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704290238
MI NP LICENSE
MI
Enumeration date
10/30/2019
Last updated
01/24/2023
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