Doctor Name: | DEBORAH CAIN |
NPI Number: | 1578937066 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 4704196417 |
Business Practice Address: | 5130 Rose Hill Blvd Holly, MI - 484429507 |
Business Phone Number: | 2486345530 |
Business Fax Number: | 2485312407 |
Mailing Address: | 5130 Rose Hill Blvd, HOLLY |
State: | MI |
Postal Code: | 484429507 |
Phone Number: | 2486345530 |
Fax Number: | 2485312407 |
NPI Enumeration Date: | 11/20/2015 |
NPI Last Update Date: | 11/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WA2000X |
License Number: | 4704196417 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Administrator |
Taxonomy Definition: |