DEDRA DELANE FORD


Address: 18255 Birchcrest Dr, Detroit, MI 48221-2750
Phone: 3134493050

DEDRA DELANE FORD (NPI# 1649880329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649880329
Entity Type Individual
Full Name DEDRA DELANE FORD
Other Name DEDRA FORD
Credential NP-C
Practice Address 18255 Birchcrest Dr
Detroit
MI 48221-2750
Practice Telephone 3134493050
Mailing Telephone 3134493050
Enumeration Date 2020-08-06
Last Update Date 2020-08-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
4704286031 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 18255 BIRCHCREST DR
City DETROIT
State MI
Zip Code 48221-2750

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1558909978 Ruxandra Maria Lazar Nurse Practitioner 5285 Anthony Wayne Dr, Detroit, MI 48202-3947 2019-12-16
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1427600246 Christina Neirinck Nurse Practitioner 2401 St Antoine St, Detroit, MI 48201 2019-07-11
1548821556 Ty R Houston Nurse Practitioner 13100 Corbett St, Detroit, MI 48213-2081 2019-06-21
1235795451 Nekisha Bailey Nurse Practitioner 7501 Parkland, Detroit, MI 48239-1079 2019-05-13
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Competitor

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City DETROIT
Zip Code 48221

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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