MRS. DEBORAH LEE SQUIRE NP NPI 1023356748

NPI Information

NPI: 1023356748
Provider Name: MRS. DEBORAH LEE SQUIRE, NP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
4918 W CLARK RD STE 104
YPSILANTI, MI
ZIP 48197
Phone: (734) 528-9125
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MRS. Deborah Lee Squire, NP is a women's health nurse practitioner in Ypsilanti, MI. MRS. Deborah Lee Squire, NP NPI is 1023356748. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4918 W CLARK RD STE 104
YPSILANTI, MI
ZIP 48197-142
Phone: (734) 528-9125
Fax: (734) 528-9263

The NPI 1023356748 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 1/31/2013 and was last updated on 8/5/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		4704177641	MICHIGAN	No
2	363LW0102X	Nurse Practitioner	Women's Health	4704177641	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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