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NPI Code Detail

MEDICARE: DEBRA MARIE CONSIGLIO NP

MEDICARE: DEBRA MARIE CONSIGLIO NP
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
1363LF0000XFamily Nurse Practitioner4704158682MI

General Provider Information

NPI Number : 1750329827
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA MARIE CONSIGLIO NP
Provider Business Mailing Address
First Line : 2025 FORT ST
Second Line :
City : WYANDOTTE
State : MI
Zip : 48192-3841
Country : US
Telephone Number : 734-283-9640
Fax Number :
Provider Business Practice Location Address
First Line : 2025 FORT ST
Second Line :
City : WYANDOTTE
State : MI
Zip : 48192-3841
Country : US
Telephone Number : 734-283-9640
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 02/19/2016

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