Healthcare Provider Details

I. General information

NPI: 1548592249
Provider Name (Legal Business Name): DEBRA SL REMLEY ANCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2010
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 N MACOMB ST STE 200
MONROE MI
48162-2904
US

IV. Provider business mailing address

730 N MACOMB ST STE 200
MONROE MI
48162-2904
US

V. Phone/Fax

Practice location:
  • Phone: 734-240-1760
  • Fax: 734-240-1780
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4704106533
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number4704106533
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: