DEBRA PROVOAST, NP
Nurse Practitioner - Family
Active
Individual
NPI: 1033107271
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | 4704173663 (MI) |
Frequently Asked Questions
NPI 1033107271 is the National Provider Identifier for DEBRA PROVOAST, NP, a Nurse Practitioner - Family provider located in Hale, MI. This NPI was enumerated on October 12, 2005.
DEBRA PROVOAST, NP practices at 3190 NORTHRIDGE DRIVE, Hale, MI 48739.
Quick Facts
- NPI
- 1033107271
- Type
- Individual
- Enumerated
- Oct 12, 2005
- Last Updated
- Mar 24, 2014
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