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Individual

MRS. DEBRA L NIEUWKOOP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, BC; NP-C

Contact information

Practice address
3888 HAZELETT DR, WATERFORD, MI 48328-4032
(248) 682-3426
(248) 682-3426
Mailing address
3888 HAZELETT DR, WATERFORD, MI 48328-4032
(248) 682-3426
(248) 682-3426

Taxonomy

Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
4704205895
MI
163WG0000X
General Practice Registered Nurse
Primary
4704205895
MI
163WG0600X
Gerontology Registered Nurse
4704205895
MI
163WH0200X
Home Health Registered Nurse
4704205895
MI
163WR0400X
Rehabilitation Registered Nurse
4704205895
MI
163WW0000X
Wound Care Registered Nurse
4704205895
MI

Other

Enumeration date
08/08/2007
Last updated
04/16/2008
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