Healthcare Provider Details

I. General information

NPI: 1346898228
Provider Name (Legal Business Name): DEANNA L DUBAY DNP PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DEANNA L MACKI RN

II. Dates (important events)

Enumeration Date: 09/03/2019
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3007 N SAGINAW RD
MIDLAND MI
48640-4555
US

IV. Provider business mailing address

4000 WELLNESS DR
MIDLAND MI
48670-2000
US

V. Phone/Fax

Practice location:
  • Phone: 989-839-3385
  • Fax: 989-839-1491
Mailing address:
  • Phone: 844-832-1956
  • Fax: 989-633-5241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4704245743
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: