Debora Lou Joseph, LPN
Individual provider Active NPI Licensed Practical Nurse · Osseo, MI
NPI 1629313648 · NPPES record last updated Dec 3, 2012
Key facts
- NPI
- 1629313648
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN.143193-M-IV (OH)
- Practice address
- 6163 Bellvernon Dr
Osseo, MI 49266-9713 - Phone
- (517) 797-5482
- Fax
- (517) 797-5482
- NPI assigned
- Dec 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN.143193-M-IV | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN.143193-M-IV | OH | Yes |
Addresses
Primary practice location
6163 Bellvernon Dr
Osseo, MI 49266-9713
Mailing address
6163 Bellvernon Dr
Osseo, MI 49266-9713
Phone (517) 797-5482
Other providers in Osseo, MI
- Eitniear Afc
- Golden Years Adult Foster Care
- Craig Steven Joseph
- Vicki Kime I
- Somer L Strahan
- Monika Hildegard Winters
All providers in Osseo, MI · Licensed Practical Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.