NPI Profile for DEBRA L NIEUWKOOP in WATERFORD TOWNSHIP, MI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
163WG0000X | |||
Continence Care |
163WC2100X | |||
Gerontology |
163WG0600X | |||
Home Health |
163WH0200X | |||
Rehabilitation |
163WR0400X | |||
Wound Care |
163WW0000X |
| NPI Number | 1659562254 |
|
| Status | Active | |
| Credentials | APRN, BC; NP-C | |
| Entity | Individual | |
| Enumeration date | 08/08/2007 | |
| Last updated | 04/16/2008 - About 18 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DEBRA L NIEUWKOOP
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