Healthcare Provider Details

I. General information

NPI: 1013826502
Provider Name (Legal Business Name): MARIA VIOLET DUBY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

N1667 US HIGHWAY 8
NORWAY MI
49870-2003
US

IV. Provider business mailing address

N1667 US HIGHWAY 8
NORWAY MI
49870-2003
US

V. Phone/Fax

Practice location:
  • Phone: 906-563-7323
  • Fax:
Mailing address:
  • Phone: 906-563-7323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number4704449787
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: