Individual
MRS. DEBORAH A VLIET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
5515 CLEVELAND AVE, SUITE 5, STEVENSVILLE, MI 49127-9670
(269) 429-9644
(269) 429-4002
Mailing address
5515 CLEVELAND AVE, STEVENSVILLE, MI 49127-9670
(269) 429-9644
(269) 429-4002
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704137020
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538397120
GROUP NPI
MI
01
—
I31674
UPIN
—
Enumeration date
02/06/2006
Last updated
06/07/2019
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