Brianne Nicole Deboer, FNP
Nurse Practitioner, Family in Richland, MI. Individual provider (NPI-1).
NPI number1982175741
StatusActive
Last updated in NPPESJul 20, 2020
Details
- NPI
- 1982175741
- Entity type
- Individual (NPI-1)
- Name
- Brianne Nicole Deboer
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2018
- Certification date
- Jul 20, 2020
- Last updated
- Jul 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 4704245738 | MI | Yes |
Practice location
8450 N 32nd StRichland, MI 49083-9418
Phone 269-552-2500
Mailing address
9667 N 42nd StHickory Corners, MI 49060-9510
Phone 269-830-2087
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