Individual provider · NPI-1

Deborah Jane Collier-Barstad, M.S.N.

Nurse Practitioner, Pediatrics · Southgate, MI

NPI number1114064698
StatusActive
Last updated in NPPESJul 9, 2007

Details

NPI
1114064698
Entity type
Individual (NPI-1)
Name
Mrs. Deborah Jane Collier-Barstad
Credential
M.S.N.
Sex
Female
Sole proprietor
No
Enumeration date
Jan 31, 2007
Last updated
Jul 9, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics4704158669MIYes

Other names

  • Deborah Collier-Barstad (Professional Name)

Practice location

15255 Northline Rd
Southgate, MI 48195-2487

Phone 734-285-3090 · Fax 734-285-3095

Mailing address

15753 Promenade Ave
Allen Park, MI 48101-1196

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