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NPI Code Detail

MEDICARE: DEBORAH CAIN R.N.

MEDICARE: DEBORAH CAIN R.N.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WA2000XAdministrator Registered Nurse4704196417MI
2163WC1500XCommunity Health Registered Nurse4704196417MI
3163WP0809XAdult Psychiatric/Mental Health Registered Nurse4704196417MI

General Provider Information

NPI Number : 1578937066
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH CAIN R.N.
Provider Business Mailing Address
First Line : 5130 ROSE HILL BLVD
Second Line :
City : HOLLY
State : MI
Zip : 48442-9507
Country : US
Telephone Number : 248-634-5530
Fax Number : 248-531-2407
Provider Business Practice Location Address
First Line : 5130 ROSE HILL BLVD
Second Line :
City : HOLLY
State : MI
Zip : 48442-9507
Country : US
Telephone Number : 248-634-5530
Fax Number : 248-531-2407
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2015
Last Update Date : 11/20/2015

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